Provider Demographics
NPI:1124198726
Name:ZEEB BURSTEIN, LINDA ANN (PSYD LP)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:ANN
Last Name:ZEEB BURSTEIN
Suffix:
Gender:F
Credentials:PSYD LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 OAK GROVE
Mailing Address - Street 2:SUITE 403
Mailing Address - City:MPLS
Mailing Address - State:MN
Mailing Address - Zip Code:55403
Mailing Address - Country:US
Mailing Address - Phone:612-871-8684
Mailing Address - Fax:612-871-2374
Practice Address - Street 1:430 OAK GROVE
Practice Address - Street 2:SUITE 403
Practice Address - City:MPLS
Practice Address - State:MN
Practice Address - Zip Code:55403
Practice Address - Country:US
Practice Address - Phone:612-871-8684
Practice Address - Fax:612-871-2374
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP4217103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist