Provider Demographics
NPI:1255756607
Name:LINDER, CAROLEE ANN (MA)
Entity type:Individual
Prefix:MRS
First Name:CAROLEE
Middle Name:ANN
Last Name:LINDER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4039 MURDOCK AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-7649
Mailing Address - Country:US
Mailing Address - Phone:941-879-4265
Mailing Address - Fax:
Practice Address - Street 1:1693 MAIN ST
Practice Address - Street 2:STE A
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-5864
Practice Address - Country:US
Practice Address - Phone:941-879-4265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-21
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH 10211101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health