Provider Demographics
NPI:1265617252
Name:THOMAS, LINDA D
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:D
Last Name:THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 WEKIVA SPRINGS RD
Mailing Address - Street 2:SUITE 167
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-6051
Mailing Address - Country:US
Mailing Address - Phone:407-222-9898
Mailing Address - Fax:
Practice Address - Street 1:165 WEKIVA SPRINGS RD
Practice Address - Street 2:SUITE 167
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-6051
Practice Address - Country:US
Practice Address - Phone:407-222-9898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker