Provider Demographics
NPI:1922147040
Name:SOLIE, LINDA JANE (PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:JANE
Last Name:SOLIE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5775 WAYZETA BLVD
Mailing Address - Street 2:SUITE 700
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-1233
Mailing Address - Country:US
Mailing Address - Phone:952-525-2210
Mailing Address - Fax:952-797-9055
Practice Address - Street 1:5775 WAYZETA BLVD
Practice Address - Street 2:SUITE 700
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-1233
Practice Address - Country:US
Practice Address - Phone:952-525-2210
Practice Address - Fax:952-797-9055
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP0317103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
986130922001OtherPREFERRED ONE IN MN
ON521SOOtherBC BS OF MINNESOTA INDIVI
56159SOOtherBC BS OF MINNESOTA GROUP