Provider Demographics
NPI:1366461576
Name:AUBEY, LINDA W (PHD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:W
Last Name:AUBEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4403 1ST AVE SE
Mailing Address - Street 2:SUITE 512
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-3200
Mailing Address - Country:US
Mailing Address - Phone:319-362-3720
Mailing Address - Fax:319-862-1748
Practice Address - Street 1:4403 1ST AVE SE
Practice Address - Street 2:SUITE 512
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-3200
Practice Address - Country:US
Practice Address - Phone:319-362-3720
Practice Address - Fax:319-862-1748
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0648103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
I4294Medicare ID - Type Unspecified
P40379Medicare UPIN