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NPI Code Detail

MEDICARE: DR. LINDA KAY RICHARDSON PH.D

MEDICARE: DR. LINDA KAY RICHARDSON PH.D
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
1103T00000XPsychologist2-3720TX

Other Identifiers

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

General Provider Information

NPI Number : 1245243898
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA KAY RICHARDSON PH.D
Provider Business Mailing Address
First Line : 920 N LOCUST ST
Second Line :
City : DENTON
State : TX
Zip : 76201-2954
Country : US
Telephone Number : 940-206-0888
Fax Number :
Provider Business Practice Location Address
First Line : 920 N LOCUST ST
Second Line :
City : DENTON
State : TX
Zip : 76201-2954
Country : US
Telephone Number : 940-206-0888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 02/20/2012

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