Provider Demographics
NPI:1235142548
Name:VANDERLINDE, LEONARD C (MD)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:C
Last Name:VANDERLINDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5709 BREWER HOUSE CIR
Mailing Address - Street 2:APT. 101
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-5428
Mailing Address - Country:US
Mailing Address - Phone:240-731-2699
Mailing Address - Fax:
Practice Address - Street 1:5709 BREWER HOUSE CIR
Practice Address - Street 2:APT. 101
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-5428
Practice Address - Country:US
Practice Address - Phone:240-731-2699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2821492084P0800X
MA493542084P0800X
MDD00592092084P0800X
MI4301491202084P0800X
SCMD207732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry