| Doctor Name: | JAYNE E VON DER LINDEN |
| NPI Number: | 1003871740 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | 4289123 |
| Business Practice Address: | 300 Crooks St Green Bay, WI - 543014527 |
| Business Phone Number: | 9204366800 |
| Business Fax Number: | 9204325966 |
| Mailing Address: | 300 Crooks St, Po Box 22308 GREEN BAY |
| State: | WI |
| Postal Code: | 543014527 |
| Phone Number: | 9204366800 |
| Fax Number: | 9204325966 |
| NPI Enumeration Date: | 04/18/2006 |
| NPI Last Update Date: | 04/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 4289123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |