Provider Demographics
NPI:1780998971
Name:THORNE, LINDA (LMFT)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:THORNE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1517 RITCHIE HWY
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-2461
Mailing Address - Country:US
Mailing Address - Phone:410-626-7800
Mailing Address - Fax:410-626-7312
Practice Address - Street 1:1517 RITCHIE HWY
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2461
Practice Address - Country:US
Practice Address - Phone:410-626-7800
Practice Address - Fax:410-626-7312
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCM329101Y00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor