Provider Demographics
NPI:1902814890
Name:GUTTMAN, LINDA RUTH (LCSW ACSW)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:RUTH
Last Name:GUTTMAN
Suffix:
Gender:F
Credentials:LCSW ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 CLIFTON COUNTRY RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-3838
Mailing Address - Country:US
Mailing Address - Phone:518-383-3544
Mailing Address - Fax:518-383-3544
Practice Address - Street 1:56 CLIFTON COUNTRY RD
Practice Address - Street 2:SUITE 105
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3838
Practice Address - Country:US
Practice Address - Phone:518-383-3544
Practice Address - Fax:518-383-3544
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR023633811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical