Provider Demographics
NPI:1801862073
Name:HODGKINS, LINDA MARIE (MS OTR/L CLT)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MARIE
Last Name:HODGKINS
Suffix:
Gender:F
Credentials:MS OTR/L CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3074 WHITNEY AVE
Mailing Address - Street 2:BUILDING 1
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-2391
Mailing Address - Country:US
Mailing Address - Phone:203-230-2800
Mailing Address - Fax:203-230-9791
Practice Address - Street 1:3074 WHITNEY AVE
Practice Address - Street 2:BUILDING 1
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-2391
Practice Address - Country:US
Practice Address - Phone:203-230-2800
Practice Address - Fax:203-230-9791
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001887174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT0011116OtherHEALTHNET
CT130001887CT01OtherANTHEM BLUE CROSS BLUE
CT7452628OtherAETNA
CT11116OtherCIGNA