Provider Demographics
NPI:1770603441
Name:BESSETT, LINDA ELAINE (PHD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:ELAINE
Last Name:BESSETT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7307 BALTIMORE AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-3231
Mailing Address - Country:US
Mailing Address - Phone:301-277-3250
Mailing Address - Fax:301-927-8052
Practice Address - Street 1:7307 BALTIMORE AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-3231
Practice Address - Country:US
Practice Address - Phone:301-277-3250
Practice Address - Fax:301-927-8052
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01974103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling