Provider Demographics
NPI:1144438375
Name:MATTERN, LINDA HARPER (MED, LPC, MT-BC)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:HARPER
Last Name:MATTERN
Suffix:
Gender:F
Credentials:MED, LPC, MT-BC
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:LEE
Other - Last Name:HARPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 PARTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-6626
Mailing Address - Country:US
Mailing Address - Phone:864-271-7517
Mailing Address - Fax:
Practice Address - Street 1:12 PARTRIDGE DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-6626
Practice Address - Country:US
Practice Address - Phone:864-271-7517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist