Provider Demographics
NPI:1821217647
Name:STANLEY, LINDA SUE (LMFT, AAPS)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:SUE
Last Name:STANLEY
Suffix:
Gender:F
Credentials:LMFT, AAPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5927 HEMLOCK DR
Mailing Address - Street 2:
Mailing Address - City:GREAT BEND
Mailing Address - State:KS
Mailing Address - Zip Code:67530-6409
Mailing Address - Country:US
Mailing Address - Phone:620-793-6380
Mailing Address - Fax:620-793-7370
Practice Address - Street 1:1508 MAIN ST
Practice Address - Street 2:
Practice Address - City:GREAT BEND
Practice Address - State:KS
Practice Address - Zip Code:67530-4007
Practice Address - Country:US
Practice Address - Phone:620-757-8224
Practice Address - Fax:620-793-7370
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS561106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist