Provider Demographics
NPI:1205824471
Name:TURLEY, LINDA B (PHD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:B
Last Name:TURLEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6605
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85261-6605
Mailing Address - Country:US
Mailing Address - Phone:602-256-9599
Mailing Address - Fax:480-585-6109
Practice Address - Street 1:4345 E BLANCHE DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-4796
Practice Address - Country:US
Practice Address - Phone:602-256-9599
Practice Address - Fax:480-585-6109
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3109103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
R60614Medicare UPIN
AZZ21292Medicare ID - Type Unspecified