| Doctor Name: | DR. LINDA NORMAN WADE |
| NPI Number: | 1285815480 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 012186-1 |
| Business Practice Address: | 23 Parkway Katonah, NY - 105361505 |
| Business Phone Number: | 9142322337 |
| Business Fax Number: | |
| Mailing Address: | 1565 Baptist Church Rd, YORKTOWN HTS |
| State: | NY |
| Postal Code: | 105985812 |
| Phone Number: | 9149626825 |
| Fax Number: | 9149624619 |
| NPI Enumeration Date: | 11/16/2007 |
| NPI Last Update Date: | 11/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 012186-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |