Provider Demographics
NPI:1497839591
Name:JOSEF, LINDA (PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:JOSEF
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:RUNION
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:107 WHISPERING HILLS ST
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-7320
Mailing Address - Country:US
Mailing Address - Phone:501-321-9879
Mailing Address - Fax:501-321-9879
Practice Address - Street 1:1401 MALVERN AVE
Practice Address - Street 2:STE 230
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-6327
Practice Address - Country:US
Practice Address - Phone:501-321-9879
Practice Address - Fax:501-321-9879
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2011-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR966P103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5T387Medicare ID - Type UnspecifiedMEDICARE PROV #
AR5V954G616Medicare PIN