Provider Demographics
NPI:1851445522
Name:JAMES, LINDA L (MED,MS)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:L
Last Name:JAMES
Suffix:
Gender:F
Credentials:MED,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23425 19TH DR SE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-9589
Mailing Address - Country:US
Mailing Address - Phone:206-724-6857
Mailing Address - Fax:
Practice Address - Street 1:9415 ROOSEVELT WAY NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-2843
Practice Address - Country:US
Practice Address - Phone:206-724-6857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00050241106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist