MEDICARE: LINDA APPENFELDT, PH.D., P.A.

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	103T00000X	Psychologist	PY 2020	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134375868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDA APPENFELDT, PH.D., P.A.

Provider Business Mailing Address
First Line	:	5400 CENTRAL AVE
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33707-6131
Country	:	US
Telephone Number	:	727-321-4795
Fax Number	:	727-321-5063

Provider Business Practice Location Address
First Line	:	5400 CENTRAL AVE
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33707-6131
Country	:	US
Telephone Number	:	727-321-4795
Fax Number	:	727-321-5063

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LINDA APPENFELDT
Credential	:	PH.D.
Telephone Number	:	727-321-4795

Provider Enumeration Date	:	08/13/2008
Last Update Date	:	02/03/2015

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