Doctor Name: | MS. LINDA WISHART |
NPI Number: | 1750663498 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | |
Business Practice Address: | 3595 Hwy 50 West Ste. 3 Silver Springs, NV - 894291136 |
Business Phone Number: | 7755770319 |
Business Fax Number: | 7755779571 |
Mailing Address: | Po Box 1136, SILVER SPRINGS |
State: | NV |
Postal Code: | 894291136 |
Phone Number: | 7755770319 |
Fax Number: | 7755779571 |
NPI Enumeration Date: | 09/19/2011 |
NPI Last Update Date: | 11/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |