Organization
LINDA L THEDE PC
Active
Other names
Thede Family Center for Autism and Neurodevelopmental Disorders
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA LOUISE THEDE PSYD (CEO/PRESIDENT)
(719) 473-9200
Entity
Organization
Contact information
Practice address
8415 TIAGA TRL, COLORADO SPRINGS, CO 80919-4531
(719) 473-9200
(719) 473-9203
Mailing address
8415 TIAGA TRL, COLORADO SPRINGS, CO 80919-4531
(719) 473-9200
(719) 473-9203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103K00000X
Behavior Analyst
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497904908
INDIVIDUAL NPI
CO
Enumeration date
07/20/2012
Last updated
08/25/2020
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