Provider Demographics
NPI:1821127960
Name:LADD, LINDA D (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:D
Last Name:LADD
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 SHENANDOAH TRL
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-2941
Mailing Address - Country:US
Mailing Address - Phone:940-391-0834
Mailing Address - Fax:940-387-6274
Practice Address - Street 1:914 N LOCUST ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2954
Practice Address - Country:US
Practice Address - Phone:940-391-0834
Practice Address - Fax:940-387-6274
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32579103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical