Provider Demographics
NPI:1558639047
Name:TROWBRIDGE, LINDA SUSAN (PMHNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:SUSAN
Last Name:TROWBRIDGE
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5610 N FM 1752
Mailing Address - Street 2:
Mailing Address - City:SAVOY
Mailing Address - State:TX
Mailing Address - Zip Code:75479
Mailing Address - Country:US
Mailing Address - Phone:903-421-0044
Mailing Address - Fax:737-201-4458
Practice Address - Street 1:120 S CROCKETT ST
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-5906
Practice Address - Country:US
Practice Address - Phone:903-421-0044
Practice Address - Fax:737-201-4458
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-12
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX248714363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2890378-05Medicaid
TX2890378-06Medicaid