Provider Demographics
NPI:1053477869
Name:SCHEFFLER, LINDA WEINGARTEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:WEINGARTEN
Last Name:SCHEFFLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 E 65TH ST
Mailing Address - Street 2:29D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-6650
Mailing Address - Country:US
Mailing Address - Phone:212-744-3321
Mailing Address - Fax:212-744-1439
Practice Address - Street 1:1430 2ND AVE
Practice Address - Street 2:STE 109
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3313
Practice Address - Country:US
Practice Address - Phone:212-744-3321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002998-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
6984327OtherGHI
NY002998-1OtherSTATE LICENSE
163190OtherVALUE OPTIONS