Provider Demographics
NPI:1730209073
Name:ABRAMS, LINDA J (PHD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:J
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3402 IROQUOIS WAY
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-3640
Mailing Address - Country:US
Mailing Address - Phone:215-641-4562
Mailing Address - Fax:
Practice Address - Street 1:3402 IROQUOIS WAY
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-3640
Practice Address - Country:US
Practice Address - Phone:215-628-4620
Practice Address - Fax:215-628-4622
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006721L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA104172Medicare ID - Type Unspecified