Provider Demographics
NPI:1023302239
Name:DINGER, LINDA JEAN (SOCIAL WORKER)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:JEAN
Last Name:DINGER
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4476 MAIN STREET
Mailing Address - Street 2:SUITE 208
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4463
Mailing Address - Country:US
Mailing Address - Phone:717-348-7683
Mailing Address - Fax:716-649-8275
Practice Address - Street 1:4476 MAIN STREET
Practice Address - Street 2:SUITE 208
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-4463
Practice Address - Country:US
Practice Address - Phone:717-348-7683
Practice Address - Fax:716-649-8275
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR02552211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical