Provider Demographics
NPI:1902522972
Name:TERRI LINDEN, PHD
Entity Type:Organization
Organization Name:TERRI LINDEN, PHD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHD/PSYCHOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LINDEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:518-218-6058
Mailing Address - Street 1:PO BOX 217
Mailing Address - Street 2:
Mailing Address - City:GUILDERLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12084-0217
Mailing Address - Country:US
Mailing Address - Phone:518-218-6058
Mailing Address - Fax:
Practice Address - Street 1:1941 WESTERN AVE
Practice Address - Street 2:#1204
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-1220
Practice Address - Country:US
Practice Address - Phone:518-368-5161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty