Healthcare Provider Details

I. General information

NPI: 1255549721
Provider Name (Legal Business Name): LINDA A. ZUNDA M.S., L.M.F.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72 UPPER STATE ST
NORTH HAVEN CT
06473-1232
US

IV. Provider business mailing address

72 UPPER STATE STREET
NORTH HAVEN, CT. CT
06473-1232
US

V. Phone/Fax

Practice location:
  • Phone: 203-234-0777
  • Fax:
Mailing address:
  • Phone: 203-234-0777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number000623
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: