Provider Demographics
NPI:1235144817
Name:CUTCHALL, LINDA A (LCSW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:A
Last Name:CUTCHALL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4027 N CLASSEN BLVD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-2639
Mailing Address - Country:US
Mailing Address - Phone:405-528-2353
Mailing Address - Fax:405-528-7839
Practice Address - Street 1:4027 N CLASSEN BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-2639
Practice Address - Country:US
Practice Address - Phone:405-528-2353
Practice Address - Fax:405-528-7839
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK17351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical