# MABLE ROWE LINEBERGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1437250602
- **Gender:** F
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 0822 | KY | Yes |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | 0822 | KY | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | 0822 | KY | — |
| 103TC0700X | Clinical Psychologist | 0822 | KY | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 0822 | KY | — |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000069184 | BLUE CROSS BLUE SHIELD | KY |
| 01 | — | 044704 | VALUE-OPTIONS | KY |
| 01 | — | 6102963 | UNITED BEHAVIORAL HEALTH | KY |
| 01 | — | 93015 | MENTAL HEALTH NETWORK | KY |
| 01 | — | C61009 | CUMBERLAND HEALTHCARE | KY |
| 01 | — | K013663 | CHAMPUS | KY |
| 01 | — | TKY 2054 | CLEARSPRINGS | KY |
