Provider Demographics
NPI:1093878498
Name:KLEMPNER, LINDA G (PHD)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:G
Last Name:KLEMPNER
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 1:101 CEDAR LANE
Mailing Address - Street 2:STE 304
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666
Mailing Address - Country:US
Mailing Address - Phone:201-692-9496
Mailing Address - Fax:201-840-0887
Practice Address - Street 1:101 CEDAR LANE
Practice Address - Street 2:STE 304
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666
Practice Address - Country:US
Practice Address - Phone:201-692-9496
Practice Address - Fax:201-840-0887
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSI03443103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
637961Medicare ID - Type Unspecified