Provider Demographics
NPI:1760656599
Name:MAY, LINDA A (CW)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:A
Last Name:MAY
Suffix:
Gender:F
Credentials:CW
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:A
Other - Last Name:MAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSS
Mailing Address - Street 1:6 RADNOR WAY
Mailing Address - Street 2:
Mailing Address - City:RADNOR
Mailing Address - State:PA
Mailing Address - Zip Code:19087-5134
Mailing Address - Country:US
Mailing Address - Phone:610-687-6172
Mailing Address - Fax:
Practice Address - Street 1:6 RADNOR WAY OFC BUILDING
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-5134
Practice Address - Country:US
Practice Address - Phone:610-563-8958
Practice Address - Fax:610-687-3385
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW014356103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty