Provider Demographics
NPI:1396885463
Name:LINDEN, SUE ELLEN (BS)
Entity type:Individual
Prefix:MS
First Name:SUE
Middle Name:ELLEN
Last Name:LINDEN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 CARRIAGE TRAIL
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:TN
Mailing Address - Zip Code:37716-2637
Mailing Address - Country:US
Mailing Address - Phone:865-560-2587
Mailing Address - Fax:865-560-2580
Practice Address - Street 1:911 CROSS PARK DR
Practice Address - Street 2:SUITE E-475
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4505
Practice Address - Country:US
Practice Address - Phone:865-560-2598
Practice Address - Fax:865-560-2580
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health