Provider Demographics
NPI:1063855427
Name:LINDER, JODI ANNE (MED)
Entity Type:Individual
Prefix:MS
First Name:JODI
Middle Name:ANNE
Last Name:LINDER
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7905 E. HWY 66
Mailing Address - Street 2:GARY E. MILLER CHILDREN'S JUSTICE CENTER
Mailing Address - City:EL RENO
Mailing Address - State:OK
Mailing Address - Zip Code:73036
Mailing Address - Country:US
Mailing Address - Phone:405-262-0202
Mailing Address - Fax:405-262-0259
Practice Address - Street 1:7905 E. HWY 66
Practice Address - Street 2:GARY E. MILLER CHILDREN'S JUSTICE CENTER
Practice Address - City:EL RENO
Practice Address - State:OK
Practice Address - Zip Code:73036
Practice Address - Country:US
Practice Address - Phone:405-262-0202
Practice Address - Fax:405-262-0259
Is Sole Proprietor?:No
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)