Provider Demographics
NPI:1356534978
Name:COMBS, LINDA G (PHD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:G
Last Name:COMBS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:G
Other - Last Name:COMBS-SHEPHERD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:216 N MCDOWELL ST STE 204
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-2260
Mailing Address - Country:US
Mailing Address - Phone:704-372-9782
Mailing Address - Fax:
Practice Address - Street 1:216 N MCDOWELL ST STE 204
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2260
Practice Address - Country:US
Practice Address - Phone:704-372-9782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC065106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist