Provider Demographics
NPI:1326254228
Name:DOYLE, LINDA S (PT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:S
Last Name:DOYLE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5320 WASHINGTONIAN DR
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-2523
Mailing Address - Country:US
Mailing Address - Phone:504-296-5788
Mailing Address - Fax:504-455-0279
Practice Address - Street 1:5320 WASHINGTONIAN DR
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70003-2523
Practice Address - Country:US
Practice Address - Phone:504-296-5788
Practice Address - Fax:504-455-0279
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA992174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist