Individual
DR. LINDA J SHOPE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
790 E MARKET ST, SUITE 240, WEST CHESTER, PA 19382-4806
(610) 692-7611
Mailing address
PO BOX 367, BLUE BELL, PA 19422-0367
(610) 692-7611
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS003964-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001723062 0001
MAMIS
PA
Enumeration date
04/10/2006
Last updated
07/08/2007
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