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NPI Code Detail

MEDICARE: LINDA STAPLETON LCSW

MEDICARE: LINDA STAPLETON LCSW
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
11041C0700XClinical Social Worker34701TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10064ELOTHERTXBCBSTX PROVIDER NUMBER

General Provider Information

NPI Number : 1174512818
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA STAPLETON LCSW
Provider Business Mailing Address
First Line : 118 E MAIN ST
Second Line : SUITE 104
City : ROYSE CITY
State : TX
Zip : 75189
Country : US
Telephone Number : 903-355-4336
Fax Number : 972-635-6264
Provider Business Practice Location Address
First Line : 118 E MAIN ST
Second Line : SUITE 104
City : ROYSE CITY
State : TX
Zip : 75189-3713
Country : US
Telephone Number : 903-355-4336
Fax Number : 972-635-6264
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2005
Last Update Date : 03/09/2016

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Directions to “ LINDA STAPLETON LCSW” Practice Location

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