Provider Demographics
NPI:1518245810
Name:WRIGHT-SENZER, LINDA M (MENTAL HEALTH COUNSE)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:WRIGHT-SENZER
Suffix:
Gender:F
Credentials:MENTAL HEALTH COUNSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 BROADWAY
Mailing Address - Street 2:STE B3
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-2345
Mailing Address - Country:US
Mailing Address - Phone:516-724-4054
Mailing Address - Fax:516-798-8164
Practice Address - Street 1:727 BROADWAY
Practice Address - Street 2:STE B3
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-2345
Practice Address - Country:US
Practice Address - Phone:516-724-4054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003951101Y00000X, 102L00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist