Doctor Name: | MS. LINDA TANDET |
NPI Number: | 1003111329 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 149.002888 |
Business Practice Address: | 4180 Il Route 83 Suite 10 Long Grove, IL - 600479563 |
Business Phone Number: | 8477071231 |
Business Fax Number: | |
Mailing Address: | 4180 Il Route 83, Suite 10 LONG GROVE |
State: | IL |
Postal Code: | 600479563 |
Phone Number: | 8477071231 |
Fax Number: | |
NPI Enumeration Date: | 01/18/2011 |
NPI Last Update Date: | 01/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 149.002888 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |