Provider Demographics
NPI:1194462754
Name:WESTPHAL, LINDA MARIE (MS-MFT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:MARIE
Last Name:WESTPHAL
Suffix:
Gender:F
Credentials:MS-MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2107 HARLEY DR
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53711-4351
Mailing Address - Country:US
Mailing Address - Phone:608-712-0080
Mailing Address - Fax:
Practice Address - Street 1:7818 BIG SKY DR STE 101
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-2840
Practice Address - Country:US
Practice Address - Phone:608-203-6267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist