Healthcare Provider Details

I. General information

NPI: 1104041680
Provider Name (Legal Business Name): ROBERT E LINDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 LAWSON LN SUITE 360
BURLINGTON VT
05401-8445
US

IV. Provider business mailing address

1 LAWSON LN SUITE 360
BURLINGTON VT
05401-8445
US

V. Phone/Fax

Practice location:
  • Phone: 802-864-3111
  • Fax:
Mailing address:
  • Phone: 802-864-3111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License Number6328
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number6328
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: