Healthcare Provider Details

I. General information

NPI: 1386693844
Provider Name (Legal Business Name): LINDA M. GAL ENDRES PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDA M. ENDRES PH.D.

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2460 HAWTHORNE WAY
SALINE MI
48176-1665
US

IV. Provider business mailing address

4427 AICHOLTZ RD APT 133
CINCINNATI OH
45245-2075
US

V. Phone/Fax

Practice location:
  • Phone: 513-290-8988
  • Fax:
Mailing address:
  • Phone: 513-290-8988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6301015675
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6113
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: