Provider Demographics
NPI:1851515506
Name:SPECK, LINDA CHRISTINE (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:CHRISTINE
Last Name:SPECK
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:37875 W 12 MILE RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-3043
Mailing Address - Country:US
Mailing Address - Phone:248-324-0337
Mailing Address - Fax:248-324-0338
Practice Address - Street 1:37875 W 12 MILE RD
Practice Address - Street 2:SUITE 220
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-3043
Practice Address - Country:US
Practice Address - Phone:248-324-0337
Practice Address - Fax:248-324-0338
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI43014063842084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2606378571Medicare UPIN