Provider Demographics
NPI:1144566423
Name:STRAWSER, LINDA KAY (LPE-I)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:KAY
Last Name:STRAWSER
Suffix:
Gender:F
Credentials:LPE-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5511 WHITE OAK MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72936-9186
Mailing Address - Country:US
Mailing Address - Phone:870-356-2012
Mailing Address - Fax:
Practice Address - Street 1:200 HIGHWAY 70 E STE 2
Practice Address - Street 2:
Practice Address - City:GLENWOOD
Practice Address - State:AR
Practice Address - Zip Code:71943-8811
Practice Address - Country:US
Practice Address - Phone:870-356-2012
Practice Address - Fax:870-356-2012
Is Sole Proprietor?:No
Enumeration Date:2012-12-14
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR97-08EI103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR97-08EIOtherARKANSAS PSYCHOLOGY BOARD