Provider Demographics
NPI:1093897571
Name:SAMPLINER, LINDA H (EDD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:H
Last Name:SAMPLINER
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6650 N ORACLE RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-5604
Mailing Address - Country:US
Mailing Address - Phone:520-877-3337
Mailing Address - Fax:520-877-3338
Practice Address - Street 1:6650 N ORACLE RD
Practice Address - Street 2:SUITE 110
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-5604
Practice Address - Country:US
Practice Address - Phone:520-877-3337
Practice Address - Fax:520-877-3338
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ968103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZEDD968Medicare ID - Type Unspecified