Provider Demographics
NPI:1043226970
Name:STEVENSON, LINDA L (LPC MA NCC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:L
Last Name:STEVENSON
Suffix:
Gender:F
Credentials:LPC MA NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:496 N KINGS HWY
Mailing Address - Street 2:#223
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034
Mailing Address - Country:US
Mailing Address - Phone:856-313-1599
Mailing Address - Fax:
Practice Address - Street 1:496 N KINGS HWY
Practice Address - Street 2:#223
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034
Practice Address - Country:US
Practice Address - Phone:856-313-1599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00174600103T00000X
PAPC002124103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist