Healthcare Provider Details

I. General information

NPI: 1992747315
Provider Name (Legal Business Name): LINDA L SANGSTER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 04/17/2020
Certification Date: 04/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1080 NW SOUTH OUTER RD STE 202
BLUE SPRINGS MO
64015-3097
US

IV. Provider business mailing address

28 ANCHOR DR
LAKE TAPAWINGO MO
64015-9695
US

V. Phone/Fax

Practice location:
  • Phone: 816-373-6761
  • Fax: 816-229-8998
Mailing address:
  • Phone: 816-916-2400
  • Fax: 816-229-8998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License NumberMO 01769
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberMO 01769
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberMO 01769
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberMO 01769
License Number StateMO
# 5
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberMO 01769
License Number StateMO
# 6
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License NumberMO 01769
License Number StateMO
# 7
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License NumberMO 01769
License Number StateMO
# 8
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License NumberMO 01769
License Number StateMO
# 9
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberMO 01769
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: