MEDICARE: MRS. LINDA BEHR FALENDER M.S.W.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	34003301A	IN

General Provider Information

NPI Number	:	1003855990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDA BEHR FALENDER M.S.W.

Provider Business Mailing Address
First Line	:	3575 CORSHAM CIR
Second Line	:
City	:	CARMEL
State	:	IN
Zip	:	46032-8212
Country	:	US
Telephone Number	:	317-733-1112
Fax Number	:

Provider Business Practice Location Address
First Line	:	9247 N MERIDIAN ST
Second Line	:	SUITE 104
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-1879
Country	:	US
Telephone Number	:	317-815-6030
Fax Number	:	317-815-6031

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	07/08/2007

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