Provider Demographics
NPI:1568596575
Name:SANTORO, LINDA EDITH (RN, PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:EDITH
Last Name:SANTORO
Suffix:
Gender:F
Credentials:RN, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 SAPLING DR
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-2117
Mailing Address - Country:US
Mailing Address - Phone:610-388-0211
Mailing Address - Fax:
Practice Address - Street 1:168 ELKTON RD
Practice Address - Street 2:SUITE 208
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-7933
Practice Address - Country:US
Practice Address - Phone:302-454-8010
Practice Address - Fax:302-454-8026
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB1-0000347103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist