Healthcare Provider Details

I. General information

NPI: 1336198381
Provider Name (Legal Business Name): KERRI ANN LINTON MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 04/06/2023
Certification Date: 04/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 MARKET RD
BECKLEY WV
25801-7116
US

IV. Provider business mailing address

202 GLASS DR
CROSS LANES WV
25313-1319
US

V. Phone/Fax

Practice location:
  • Phone: 304-254-9003
  • Fax: 304-254-9005
Mailing address:
  • Phone: 304-776-7230
  • Fax: 304-776-7247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1521
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number852
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: