Provider Demographics
NPI:1699069922
Name:KLEIN, LINDA VEST (MA, LP)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:VEST
Last Name:KLEIN
Suffix:
Gender:F
Credentials:MA, LP
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:VEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1821 UNIVERSITY AVE
Mailing Address - Street 2:SUITE N-464
Mailing Address - City:ST. PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104
Mailing Address - Country:US
Mailing Address - Phone:651-659-2900
Mailing Address - Fax:651-645-7307
Practice Address - Street 1:1821 UNIVERSITY AVE
Practice Address - Street 2:SUITE N-464
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104
Practice Address - Country:US
Practice Address - Phone:651-659-2900
Practice Address - Fax:651-645-7307
Is Sole Proprietor?:No
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP0238103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical