Provider Demographics
NPI:1124499793
Name:LINDEN PONDS
Entity type:Organization
Organization Name:LINDEN PONDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-493-6463
Mailing Address - Street 1:205 LINDEN PONDS WAY
Mailing Address - Street 2:HOBART GROVE
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-8714
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:205 LINDEN PONDS WAY
Practice Address - Street 2:HOBART GROVE
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-8714
Practice Address - Country:US
Practice Address - Phone:781-534-7037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8595261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation