Provider Demographics
NPI:1689642001
Name:LINDEN, JULIE H (PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:H
Last Name:LINDEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 E GOWEN AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-1021
Mailing Address - Country:US
Mailing Address - Phone:215-248-9651
Mailing Address - Fax:215-753-1178
Practice Address - Street 1:227 E GOWEN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-1021
Practice Address - Country:US
Practice Address - Phone:215-248-9651
Practice Address - Fax:215-753-1178
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS002870L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist