Provider Demographics
NPI:1235247396
Name:FERREIRA, LINDA OHLSEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:OHLSEN
Last Name:FERREIRA
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 1:4586 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205
Mailing Address - Country:US
Mailing Address - Phone:317-924-9728
Mailing Address - Fax:
Practice Address - Street 1:23 EAST 39TH STREET
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-2645
Practice Address - Country:US
Practice Address - Phone:317-924-2372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20040027A103TH0100X
IN35000004A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist