Provider Demographics
NPI:1982793329
Name:WEBB, LINDA SUE (MA, LMFT)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:SUE
Last Name:WEBB
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 HUNTINGTON LANE
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:NH
Mailing Address - Zip Code:03608
Mailing Address - Country:US
Mailing Address - Phone:603-762-0463
Mailing Address - Fax:
Practice Address - Street 1:8 HUNTINGTON LN
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:NH
Practice Address - Zip Code:03608-4213
Practice Address - Country:US
Practice Address - Phone:603-762-0463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH128106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH81263595Medicaid