Provider Demographics
NPI:1457408650
Name:LINDEN, SCOTT LEWIS (PHD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:LEWIS
Last Name:LINDEN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ALGIERS ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-6305
Mailing Address - Country:US
Mailing Address - Phone:516-433-8819
Mailing Address - Fax:516-433-1879
Practice Address - Street 1:8 ALGIERS ST
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-6305
Practice Address - Country:US
Practice Address - Phone:516-433-8819
Practice Address - Fax:516-433-1879
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008428-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical