Provider Demographics
NPI:1326028903
Name:LINNELL, ARTHUR THOMAS (EDD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:THOMAS
Last Name:LINNELL
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1524 WILDWOOD CT
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80521-4028
Mailing Address - Country:US
Mailing Address - Phone:970-493-0764
Mailing Address - Fax:970-482-7300
Practice Address - Street 1:112 S COLLEGE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-3184
Practice Address - Country:US
Practice Address - Phone:970-493-1358
Practice Address - Fax:970-482-7300
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO601103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07006018Medicaid
CO07006018Medicaid