Healthcare Provider Details
I. General information
NPI: 1043250855
Provider Name (Legal Business Name): LINDEN & ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/08/2006
Last Update Date: 10/17/2024
Certification Date: 10/17/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2725 S JONES BLVD SUITE 104
LAS VEGAS NV
89146-5667
US
IV. Provider business mailing address
4900 RICHMOND SQ SUITE 102
OKLAHOMA CITY OK
73118-2028
US
V. Phone/Fax
- Phone: 702-384-2238
- Fax: 702-384-2279
- Phone: 405-840-1999
- Fax: 405-848-3298
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | 14324 |
| License Number State | OK |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0805X |
| Taxonomy | Geriatric Psychiatry Physician |
| License Number | 11398 |
| License Number State | NV |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | 11398 |
| License Number State | NV |
VIII. Authorized Official
Name: DR.
DAVID
EARL
LINDEN
Title or Position: OWNER PHYSICIAN
Credential: M.D.
Phone: 405-840-1999