Provider Demographics
NPI:1942730056
Name:LINDER, PAMELA KATHERINE X (LCSW, MPH)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:KATHERINE
Last Name:LINDER
Suffix:X
Gender:F
Credentials:LCSW, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3472
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06515-0174
Mailing Address - Country:US
Mailing Address - Phone:203-668-6333
Mailing Address - Fax:
Practice Address - Street 1:66 CONRAD DR
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-2410
Practice Address - Country:US
Practice Address - Phone:203-668-6333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-13
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT40661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical