Healthcare Provider Details

I. General information

NPI: 1457408650
Provider Name (Legal Business Name): SCOTT LEWIS LINDEN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 ALGIERS ST
PLAINVIEW NY
11803-6305
US

IV. Provider business mailing address

8 ALGIERS ST
PLAINVIEW NY
11803-6305
US

V. Phone/Fax

Practice location:
  • Phone: 516-433-8819
  • Fax: 516-433-1879
Mailing address:
  • Phone: 516-433-8819
  • Fax: 516-433-1879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number008428-1
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: