Provider Demographics
NPI:1407152804
Name:HAY, LINDA R (PHD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:R
Last Name:HAY
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 1:12 MERSHON DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-3928
Mailing Address - Country:US
Mailing Address - Phone:609-924-0880
Mailing Address - Fax:
Practice Address - Street 1:12 MERSHON DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-3928
Practice Address - Country:US
Practice Address - Phone:609-924-0880
Practice Address - Fax:609-924-9618
Is Sole Proprietor?:No
Enumeration Date:2011-02-02
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100143400103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical