Provider Demographics
NPI:1952474298
Name:LINDE, RHONDA JOAN (PHD)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:JOAN
Last Name:LINDE
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 1:1093 BEACON ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5695
Mailing Address - Country:US
Mailing Address - Phone:617-734-6614
Mailing Address - Fax:617-267-3667
Practice Address - Street 1:1093 BEACON ST
Practice Address - Street 2:SUITE 401
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-5695
Practice Address - Country:US
Practice Address - Phone:617-734-6614
Practice Address - Fax:617-267-3667
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3871103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAWO 3839OtherBCBS OF MA
MA1303546Medicaid
MA8232-01OtherHARVARD PILGRIM
MA739463OtherTUFTS HEALTH PLAN
MA8232-01OtherHARVARD PILGRIM
MAY10138Medicare ID - Type UnspecifiedMEDICARE PART B