Provider Demographics
NPI:1194848887
Name:ARBAUGH PATIN, LINDA (MA LPE)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:ARBAUGH PATIN
Suffix:
Gender:F
Credentials:MA LPE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9000 CHURCH ST E
Mailing Address - Street 2:BLDG A SUITE 106
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5285
Mailing Address - Country:US
Mailing Address - Phone:615-373-9730
Mailing Address - Fax:615-373-9730
Practice Address - Street 1:9000 CHURCH ST E
Practice Address - Street 2:BLDG A SUITE 106
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5285
Practice Address - Country:US
Practice Address - Phone:615-373-9730
Practice Address - Fax:615-373-9730
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPE1664103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist