Provider Demographics
NPI:1760911630
Name:LINDA D RICE PHD ABPP PC
Entity Type:Organization
Organization Name:LINDA D RICE PHD ABPP PC
Other - Org Name:NEUROPSYCHOLOGY AND COGNITIVE REHABILITATION ASSOCIATES OF CHICAGO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD ABPP
Authorized Official - Phone:202-487-0921
Mailing Address - Street 1:2506 N CLARK ST # 162
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-1848
Mailing Address - Country:US
Mailing Address - Phone:202-487-0921
Mailing Address - Fax:312-275-7660
Practice Address - Street 1:151 N MICHIGAN AVE STE 566
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-7506
Practice Address - Country:US
Practice Address - Phone:202-487-0921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-05
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty