Provider Demographics
NPI:1851570998
Name:LINKOVA, JULIA (MED)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:
Last Name:LINKOVA
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 ELM ST
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-3632
Mailing Address - Country:US
Mailing Address - Phone:617-528-8961
Mailing Address - Fax:
Practice Address - Street 1:2 ELM ST STE 314
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3632
Practice Address - Country:US
Practice Address - Phone:617-528-8961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-25
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7461101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health