Provider Demographics
NPI:1467654004
Name:SAPIN, LINDA R (PHD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:R
Last Name:SAPIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Mailing Address - Street 1:8555 16TH ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910
Mailing Address - Country:US
Mailing Address - Phone:301-562-7200
Mailing Address - Fax:301-563-7199
Practice Address - Street 1:2730 UNIVERSITY BLVD W
Practice Address - Street 2:SUITE 410
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902
Practice Address - Country:US
Practice Address - Phone:301-562-7200
Practice Address - Fax:301-346-4150
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD02218103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD000048N88Medicare PIN