Provider Demographics
NPI:1194517367
Name:LINENDOLL, DANA
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:LINENDOLL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 QUEENSBERRY ST APT 5
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-4755
Mailing Address - Country:US
Mailing Address - Phone:518-728-3008
Mailing Address - Fax:
Practice Address - Street 1:106 QUEENSBERRY ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-4713
Practice Address - Country:US
Practice Address - Phone:518-728-3008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health