Provider Demographics
NPI:1992747315
Name:SANGSTER, LINDA L (PHD)
Entity type:Individual
Prefix:PROF
First Name:LINDA
Middle Name:L
Last Name:SANGSTER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 ANCHOR DR
Mailing Address - Street 2:
Mailing Address - City:LAKE TAPAWINGO
Mailing Address - State:MO
Mailing Address - Zip Code:64015-9695
Mailing Address - Country:US
Mailing Address - Phone:816-916-2400
Mailing Address - Fax:816-229-8998
Practice Address - Street 1:1080 NW SOUTH OUTER RD STE 202
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64015-3097
Practice Address - Country:US
Practice Address - Phone:816-373-6761
Practice Address - Fax:816-229-8998
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-11
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOMO 01769103TA0700X, 103TB0200X, 103TC0700X, 103TC1900X, 103TC2200X, 103TF0000X, 103TM1800X, 103TP2701X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO493193403Medicaid
MO16187010OtherBCBSKC
MO493193411Medicaid