Waller, Linda Kathryn

Waller, Linda Kathryn is an individual health care provider with primary practice located at 300 13Th Ave W Ste 1 , Dickinson ND 58601-4875. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Waller, Linda Kathryn can be contacted via phone (701) 227-7508.

Contact Information

Primary practice address
300 13Th Ave W Ste 1 Dickinson ND 58601-4875
Phone: (701) 227-7508
Fax: (701) 227-7575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1826 North Dakota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1593 North Dakota

Profile Details

NPI number 1407888621
LBN Legal business name Waller, Linda Kathryn
Credentials LICSW, BCD, DCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jan 19th, 2016 - about 8 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 1407888621 NPPES
North Dakota MEDICAID 54523
North Dakota Other 12661

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