Provider Demographics
NPI:1568854057
Name:WEBBER, LINDA A (MA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:A
Last Name:WEBBER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9347 BREVARD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-2531
Mailing Address - Country:US
Mailing Address - Phone:830-357-0667
Mailing Address - Fax:
Practice Address - Street 1:9347 BREVARD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-2531
Practice Address - Country:US
Practice Address - Phone:830-357-0667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-20
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No174H00000XOther Service ProvidersHealth Educator
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist