Provider Demographics
NPI:1265684070
Name:CONDRON, LINDA (PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:CONDRON
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 1:676 BROOK HOLW
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6276
Mailing Address - Country:US
Mailing Address - Phone:614-340-5592
Mailing Address - Fax:614-448-3344
Practice Address - Street 1:676 BROOK HOLW
Practice Address - Street 2:SUITE 101
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-6276
Practice Address - Country:US
Practice Address - Phone:614-340-5592
Practice Address - Fax:614-448-3344
Is Sole Proprietor?:No
Enumeration Date:2008-10-13
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional