Provider Demographics
NPI:1093149338
Name:LINDEN, SAMANTHA (RDN)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:LINDEN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1372 INDIAN MOUND E
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-2254
Mailing Address - Country:US
Mailing Address - Phone:248-430-4487
Mailing Address - Fax:888-972-3773
Practice Address - Street 1:29350 NORTHWESTERN HWY
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1028
Practice Address - Country:US
Practice Address - Phone:248-430-4487
Practice Address - Fax:888-972-3773
Is Sole Proprietor?:No
Enumeration Date:2013-08-22
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered