Provider Demographics
NPI:1467410423
Name:MYERHOLTZ, LINDA E (PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:E
Last Name:MYERHOLTZ
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 1:590 MANNING DR
Mailing Address - Street 2:UNC DEPARTMENT OF FAMILY MEDICINE
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7595
Mailing Address - Country:US
Mailing Address - Phone:919-962-4764
Mailing Address - Fax:
Practice Address - Street 1:590 MANNING DR
Practice Address - Street 2:UNC DEPARTMENT OF FAMILY MEDICINE
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7595
Practice Address - Country:US
Practice Address - Phone:919-962-4764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5619103TC0700X
NC3206103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHMYCP23584Medicare PIN
OH680012118Medicare ID - Type Unspecified