Provider Demographics
NPI:1821153123
Name:DAY, LINDA LOU (PHD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:LOU
Last Name:DAY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:H
Other - Last Name:DAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:12821 OAKMONT DR
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64145-1142
Mailing Address - Country:US
Mailing Address - Phone:816-916-7170
Mailing Address - Fax:816-763-8306
Practice Address - Street 1:13010 WHITE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:GRANDVIEW
Practice Address - State:MO
Practice Address - Zip Code:64030
Practice Address - Country:US
Practice Address - Phone:816-916-7170
Practice Address - Fax:816-763-8306
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0046106H00000X
MO00979103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist