Provider Demographics
NPI:1154495299
Name:LINDER, TODD S (LPC)
Entity Type:Individual
Prefix:MR
First Name:TODD
Middle Name:S
Last Name:LINDER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3021 GATEWAY DR STE 290
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-6072
Mailing Address - Country:US
Mailing Address - Phone:972-257-0449
Mailing Address - Fax:972-258-0449
Practice Address - Street 1:3021 GATEWAY DR STE 290
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-6072
Practice Address - Country:US
Practice Address - Phone:972-257-0449
Practice Address - Fax:972-258-0449
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12282101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health