MEDICARE: DR. LINDA LANIER PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	071004800	IL

General Provider Information

NPI Number	:	1598814055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA LANIER PHD

Provider Business Mailing Address
First Line	:	PO BOX 19639
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62794-9639
Country	:	US
Telephone Number	:	217-545-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1124 S 5TH ST
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62703-2314
Country	:	US
Telephone Number	:	217-522-5002
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	12/29/2025

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Directions to “ DR. LINDA LANIER PHD” Practice Location

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