Provider Demographics
NPI:1962527358
Name:SEYMOUR, LINDA J (MSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:J
Last Name:SEYMOUR
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2135 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-2405
Mailing Address - Country:US
Mailing Address - Phone:541-344-5751
Mailing Address - Fax:707-228-1563
Practice Address - Street 1:2135 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-2405
Practice Address - Country:US
Practice Address - Phone:541-344-5751
Practice Address - Fax:707-228-1563
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR16831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical