Healthcare Provider Details

I. General information

NPI: 1801042379
Provider Name (Legal Business Name): LINDA NAJJAR PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2008
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11005 SPAIN RD NE STE 10
ALBUQUERQUE NM
87111-1871
US

IV. Provider business mailing address

11005 SPAIN RD NE STE 10
ALBUQUERQUE NM
87111-1871
US

V. Phone/Fax

Practice location:
  • Phone: 505-306-4144
  • Fax:
Mailing address:
  • Phone: 505-306-4144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number1058
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: