Provider Demographics
NPI:1548392061
Name:CHAMBERLAIN, LINDA LEE (PSY D)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:LEE
Last Name:CHAMBERLAIN
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10230 RIDGE ROAD
Mailing Address - Street 2:M 102
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:33654-5199
Mailing Address - Country:US
Mailing Address - Phone:813-767-7370
Mailing Address - Fax:
Practice Address - Street 1:10230 RIDGE RD
Practice Address - Street 2:M 102
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:33654-5199
Practice Address - Country:US
Practice Address - Phone:813-767-7370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-10
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 7052103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist