Doctor Name: | MS. LINDA CHASE WAYMAN |
NPI Number: | 1073711636 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LINDA WAYMAN, LPC |
License Number: | 000078 |
Business Practice Address: | 1014 Farmington Ave Counseling Center Of Greater Hartford West Hartford, CT - 061072105 |
Business Phone Number: | 8605219299 |
Business Fax Number: | |
Mailing Address: | 4 Stratford Park, BLOOMFIELD |
State: | CT |
Postal Code: | 060022143 |
Phone Number: | 8602698645 |
Fax Number: | |
NPI Enumeration Date: | 07/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 000078 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |