Healthcare Provider Details

I. General information

NPI: 1013387570
Provider Name (Legal Business Name): LINDA ANN LHOST PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDA LHOST-CATAL PHD

II. Dates (important events)

Enumeration Date: 09/28/2015
Last Update Date: 09/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34441 8 MILE RD STE 104
LIVONIA MI
48152-4013
US

IV. Provider business mailing address

8723 MERKEL CT
DEXTER MI
48130
US

V. Phone/Fax

Practice location:
  • Phone: 734-646-6162
  • Fax:
Mailing address:
  • Phone: 734-646-6162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6301006207
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: