MEDICARE: LINDA MCWHORTER, PHD LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103T00000X	Psychologist
2	103TC0700X	Clinical Psychologist
3	103TC2200X	Clinical Child & Adolescent Psychologist
4	103TF0000X	Family Psychologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2023712026	OTHER	DE	BUSINESS LICENSE
3	B1-0011344	OTHER	DE	PSYCHOLOGY LICENSE

General Provider Information

NPI Number	:	1710759881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDA MCWHORTER, PHD LLC

Provider Business Mailing Address
First Line	:	209 ODYSSEY ST.
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-5253
Country	:	US
Telephone Number	:	704-493-4236
Fax Number	:

Provider Business Practice Location Address
First Line	:	1207 DELAWARE AVE
Second Line	:	SUITE 2091
City	:	WILMINGTON
State	:	DE
Zip	:	19806-4743
Country	:	US
Telephone Number	:	704-493-4236
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PSYCHOLOGIST/OWNER
Name	:	DR. LINDA MCWHORTER
Credential	:	PHD
Telephone Number	:	704-493-4236

Provider Enumeration Date	:	10/23/2023
Last Update Date	:	06/09/2025

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