Ingraham, Linda M.

Ingraham, Linda M. is an sole proprietor health care provider with primary practice located at 3131 Turtle Creek Blvd Suite 1026, Dallas TX 75219-5426. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Ingraham, Linda M. can be contacted via phone (214) 219-1031.

Contact Information

Primary practice address
3131 Turtle Creek Blvd Suite 1026 Dallas TX 75219-5426
Fax: (214) 522-0916
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 22872 Texas
Behavioral Health & Social Service Providers / Forensic 103TF0200X 22872 Texas

Profile Details

NPI number 1356547665
LBN Legal business name Ingraham, Linda M.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356547665 NPPES
Texas Other 00B12A BCBS
Texas MEDICAID 0320111 BCBS

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