Provider Demographics
NPI:1427820141
Name:OSTERLUND, LINDA C (PHD, LMFT)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:C
Last Name:OSTERLUND
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 OLD ANTLERS WAY
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-8083
Mailing Address - Country:US
Mailing Address - Phone:719-640-8286
Mailing Address - Fax:
Practice Address - Street 1:500 E 84TH AVE STE B12
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-5338
Practice Address - Country:US
Practice Address - Phone:303-964-5786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO693106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist