Provider Demographics
NPI:1629232954
Name:SLOCUM, LINDA J (BA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:J
Last Name:SLOCUM
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:J
Other - Last Name:FLYNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:3021 WING ST
Mailing Address - Street 2:
Mailing Address - City:BLISS
Mailing Address - State:NY
Mailing Address - Zip Code:14024-9604
Mailing Address - Country:US
Mailing Address - Phone:585-322-7276
Mailing Address - Fax:
Practice Address - Street 1:39 DUNCAN ST
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:NY
Practice Address - Zip Code:14569-1017
Practice Address - Country:US
Practice Address - Phone:585-786-0190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor