Provider Demographics
NPI:1821009358
Name:HEIDEGER, LINDA JUDITH (MA, LCPC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:JUDITH
Last Name:HEIDEGER
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 S ARLINGTON HEIGHTS RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-3170
Mailing Address - Country:US
Mailing Address - Phone:847-577-8543
Mailing Address - Fax:
Practice Address - Street 1:1040 S ARLINGTON HEIGHTS RD
Practice Address - Street 2:SUITE 102
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-3170
Practice Address - Country:US
Practice Address - Phone:847-577-8543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP1600X, 101YM0800X
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional