| Doctor Name: | DR. LINDA M OUELLETTE |
| NPI Number: | 1194870683 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., LMHC, LMFT, |
| License Number: | MH 5334 |
| Business Practice Address: | 2194 Highway 1 Suite 203 Indian Harbour Beach, FL - 329377096 |
| Business Phone Number: | 3212898928 |
| Business Fax Number: | |
| Mailing Address: | 437 Eagle Dr, SATELLITE BEACH |
| State: | FL |
| Postal Code: | 329373709 |
| Phone Number: | 3212898928 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 06/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH 5334 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |