Provider Demographics
NPI:1487954590
Name:DUNLAP, LINDA N (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:N
Last Name:DUNLAP
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 OAKCREEK DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-8803
Mailing Address - Country:US
Mailing Address - Phone:254-774-9621
Mailing Address - Fax:
Practice Address - Street 1:104 OAKCREEK DR
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-8803
Practice Address - Country:US
Practice Address - Phone:254-774-9621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX036681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical