Provider Demographics
NPI:1467432179
Name:FONT, LINDA SUE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:SUE
Last Name:FONT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2907 ENCINO ROBLES
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-2693
Mailing Address - Country:US
Mailing Address - Phone:210-292-7504
Mailing Address - Fax:210-292-4855
Practice Address - Street 1:WILFORD HALL MEDICAL CENTER /759TH MDSS/MSBU
Practice Address - Street 2:2200 BERGQUIST DRIVE, SUITE 1
Practice Address - City:LACKLAND AIR FORCE BASE
Practice Address - State:TX
Practice Address - Zip Code:78236
Practice Address - Country:US
Practice Address - Phone:210-292-7504
Practice Address - Fax:210-292-4855
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
TXS377771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical