Provider Demographics
NPI:1194301135
Name:BOND, LINDA C (PHD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:C
Last Name:BOND
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 1:8 OAK RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:WEST HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10604-1128
Mailing Address - Country:US
Mailing Address - Phone:914-879-7249
Mailing Address - Fax:
Practice Address - Street 1:8 OAK RIDGE CT
Practice Address - Street 2:
Practice Address - City:WEST HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10604-1128
Practice Address - Country:US
Practice Address - Phone:914-879-7249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-21
Last Update Date:2021-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014984-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist