Healthcare Provider Details

I. General information

NPI: 1811137573
Provider Name (Legal Business Name): LINDA SLAIKEU MA MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2009
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 E WASHINGTON AVE # WI
MADISON WI
53703-3688
US

IV. Provider business mailing address

2484 285TH AVE
CUSHING WI
54006-3213
US

V. Phone/Fax

Practice location:
  • Phone: 715-928-0725
  • Fax:
Mailing address:
  • Phone: 715-928-0725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number825124
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number4101006662
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number3384
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: