Provider Demographics
NPI:1194940585
Name:FILETTI, LINDA BAKER (PHD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:BAKER
Last Name:FILETTI
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 1:31 FOX LAIR LN
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:PA
Mailing Address - Zip Code:19373-1026
Mailing Address - Country:US
Mailing Address - Phone:610-358-5691
Mailing Address - Fax:
Practice Address - Street 1:5 CHRISTY DR STE 102
Practice Address - Street 2:
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-9667
Practice Address - Country:US
Practice Address - Phone:484-437-7885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015141103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical