Provider Demographics
NPI:1467529636
Name:GAMST, LINDA A (MA,LPC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:A
Last Name:GAMST
Suffix:
Gender:F
Credentials:MA,LPC
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:A
Other - Last Name:GAMST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA,LPC,PC
Mailing Address - Street 1:4810 SPICEWOOD SPRINGS RD STE B
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-7845
Mailing Address - Country:US
Mailing Address - Phone:512-310-0530
Mailing Address - Fax:512-374-0419
Practice Address - Street 1:4810 SPICEWOOD SPRINGS RD STE B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-7845
Practice Address - Country:US
Practice Address - Phone:512-310-0530
Practice Address - Fax:512-374-0419
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional