Provider Demographics
NPI:1477578102
Name:LINDEN, TERRI ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:TERRI
Middle Name:ANN
Last Name:LINDEN
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 1:11 NEW KARNER RD UNIT 217
Mailing Address - Street 2:
Mailing Address - City:GUILDERLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12084-6210
Mailing Address - Country:US
Mailing Address - Phone:518-218-6058
Mailing Address - Fax:877-861-7286
Practice Address - Street 1:1941 WESTERN AVE APT 1204
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-7012
Practice Address - Country:US
Practice Address - Phone:518-368-5161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011335103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist