Provider Demographics
NPI:1427816495
Name:VANDERLINDEN, HAILLIE MARIE
Entity type:Individual
Prefix:
First Name:HAILLIE
Middle Name:MARIE
Last Name:VANDERLINDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 HILLVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-4614
Mailing Address - Country:US
Mailing Address - Phone:319-558-7969
Mailing Address - Fax:
Practice Address - Street 1:3412 CENTER POINT RD NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-5575
Practice Address - Country:US
Practice Address - Phone:319-382-8660
Practice Address - Fax:319-382-8693
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist