Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 071008254 | IL |
Y | 103TC0700X | Clinical Psychologist | 071008254 | IL |
N | 103G00000X | Clinical Psychologist | 2428 | MD |
N | 103TC0700X | Clinical Psychologist | 2428 | MD |
N | 103G00000X | Clinical Psychologist | PSY10000293 | DC |
N | 103TC0700X | Clinical Psychologist | PSY10000293 | DC |
NPI | 1013068444 |
---|---|
Provider Name | Dr. Linda D Rice |
First Address | Chesterton, IN 46304-0357 |
Second Address | Chicago, IL 60640-2831 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2007 |
Last Update Date | 16/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
071008254 | PROFESSIONAL LICENSE (01) | IL |