Provider Demographics
NPI:1205056868
Name:SANTA CRUZ, LINDA
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:SANTA CRUZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:BEIHOFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1385 MENDOTA HEIGHTS RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MENDOTA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55120-1368
Mailing Address - Country:US
Mailing Address - Phone:651-379-9800
Mailing Address - Fax:
Practice Address - Street 1:1385 MENDOTA HEIGHTS RD
Practice Address - Street 2:SUITE 200
Practice Address - City:MENDOTA HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55120-1368
Practice Address - Country:US
Practice Address - Phone:651-379-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health