| Linda N. Summers, Psyd., Pllc | |
|
115 Briar Rdg Collinsville IL 62234-6878 | |
| (618) 300-9184 | |
| (888) 690-3103 |
| Full Name | Linda N. Summers, Psyd., Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 115 Briar Rdg, Collinsville, Illinois |
| Authorized Official Name and Position | Linda Summers (PSYD) |
| Authorized Official Contact | 6183009184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda N. Summers, Psyd., Pllc 115 Briar Rdg Collinsville IL 62234-6878 Ph: (618) 300-9184 | Linda N. Summers, Psyd., Pllc 115 Briar Rdg Collinsville IL 62234-6878 Ph: (618) 300-9184 |
| NPI Number | 1316703986 |
|---|---|
| Provider Enumeration Date | 02/22/2024 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Medicare PECOS PAC ID | 5496196420 |
|---|---|
| Medicare Enrollment ID | O20240508002468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316703986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Linda Summers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639107584 PECOS PAC ID: 1254437387 Enrollment ID: I20230718002058 |
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