Provider Demographics
NPI:1154453835
Name:OXFORD, LINDA JOSEPHINE (MED LMFT)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:JOSEPHINE
Last Name:OXFORD
Suffix:
Gender:F
Credentials:MED LMFT
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:OXFORD
Other - Last Name:WALTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED LMFT
Mailing Address - Street 1:2017 MISTY HOLLOW
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312
Mailing Address - Country:US
Mailing Address - Phone:850-893-4383
Mailing Address - Fax:801-681-0451
Practice Address - Street 1:860 A EAST PARK AVE
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301
Practice Address - Country:US
Practice Address - Phone:850-681-0458
Practice Address - Fax:801-681-0451
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT1261106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ3199OtherBLUE CROSS BLUE SHIELD