Provider Demographics
NPI:1639102106
Name:HERSHEY, LINDA ANN (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:ANN
Last Name:HERSHEY
Suffix:
Gender:F
Credentials:MD, PHD
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Other - First Name:
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Mailing Address - Street 1:711 STANTON YOUNG BLVD
Mailing Address - Street 2:DEPT OF NEUROLOGY (SUITE 215)
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5021
Mailing Address - Country:US
Mailing Address - Phone:405-271-4113
Mailing Address - Fax:405-271-5723
Practice Address - Street 1:711 STANTON YOUNG BLVD
Practice Address - Street 2:DEPT OF NEUROLOGY (SUITE 215)
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5021
Practice Address - Country:US
Practice Address - Phone:405-271-4113
Practice Address - Fax:405-271-5723
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY137749-12084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology