Provider Demographics
NPI:1962036590
Name:SYKES, LINDA (MS,LPC, CGRS)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:SYKES
Suffix:
Gender:F
Credentials:MS,LPC, CGRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 BRICK BLVD STE 206B
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-7991
Mailing Address - Country:US
Mailing Address - Phone:732-477-0862
Mailing Address - Fax:732-477-0879
Practice Address - Street 1:74 BRICK BLVD STE 206B
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-7991
Practice Address - Country:US
Practice Address - Phone:732-477-0862
Practice Address - Fax:732-477-0879
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-22
Last Update Date:2020-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00709200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional