Provider Demographics
NPI:1982745709
Name:SKINNER, LINDA K (MA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:K
Last Name:SKINNER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2223 S MERIDIAN
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98371-7503
Mailing Address - Country:US
Mailing Address - Phone:253-948-6497
Mailing Address - Fax:253-286-7540
Practice Address - Street 1:2223 S MERIDIAN
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-7503
Practice Address - Country:US
Practice Address - Phone:253-948-6497
Practice Address - Fax:253-286-7540
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00002625106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist