Doctor Name: | LINDA SALLEE |
NPI Number: | 1215953195 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 1374 |
Business Practice Address: | 3020 Old Lebanon Rd Campbellsville, KY - 427189674 |
Business Phone Number: | 2704657424 |
Business Fax Number: | 2704657993 |
Mailing Address: | 259 Parkers Mill Rd, SOMERSET |
State: | KY |
Postal Code: | 425013152 |
Phone Number: | 6066794782 |
Fax Number: | 6066785296 |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1374 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |