Provider Demographics
NPI:1073711636
Name:WAYMAN, LINDA CHASE (LINDA WAYMAN, LPC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:CHASE
Last Name:WAYMAN
Suffix:
Gender:F
Credentials:LINDA WAYMAN, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 STRATFORD PARK
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-2143
Mailing Address - Country:US
Mailing Address - Phone:860-269-8645
Mailing Address - Fax:
Practice Address - Street 1:1014 FARMINGTON AVE
Practice Address - Street 2:COUNSELING CENTER OF GREATER HARTFORD
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-2105
Practice Address - Country:US
Practice Address - Phone:860-521-9299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000078101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional