Provider Demographics
NPI:1629107792
Name:PHILPOTT, LINDA JEAN (LPC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:JEAN
Last Name:PHILPOTT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 MYSTIC HBR
Mailing Address - Street 2:
Mailing Address - City:BRADFORDWOODS
Mailing Address - State:PA
Mailing Address - Zip Code:15015-1313
Mailing Address - Country:US
Mailing Address - Phone:724-935-0449
Mailing Address - Fax:
Practice Address - Street 1:30 WARRENDALE BAYNE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:WARRENDALE
Practice Address - State:PA
Practice Address - Zip Code:15086-7558
Practice Address - Country:US
Practice Address - Phone:724-935-0449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC 000191101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health