Provider Demographics
NPI:1922122043
Name:LINDER, CARLA K (LPCMH)
Entity Type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:K
Last Name:LINDER
Suffix:
Gender:F
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 RIVERS END DR.
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973
Mailing Address - Country:US
Mailing Address - Phone:302-628-9660
Mailing Address - Fax:302-628-2912
Practice Address - Street 1:109 RIVERS END DR.
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973
Practice Address - Country:US
Practice Address - Phone:302-628-9660
Practice Address - Fax:302-628-2912
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC0000103101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE26-0004263OtherTAX IDENTIFICATION NUMBER