Provider Demographics
NPI:1437243979
Name:KLEE-MUELLER, LINDA (PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:KLEE-MUELLER
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 1:330 N. HARRISON ST.
Mailing Address - Street 2:SUITE 6
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-3500
Mailing Address - Country:US
Mailing Address - Phone:609-924-8809
Mailing Address - Fax:609-466-9296
Practice Address - Street 1:330 N. HARRISON ST.
Practice Address - Street 2:SUITE 6
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-3500
Practice Address - Country:US
Practice Address - Phone:609-924-8809
Practice Address - Fax:609-466-9296
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC000916001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ637508Medicare ID - Type Unspecified