Individual
DR. LINDA LOUISE THEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, L.P.C., L.P.
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
101YP2500X
Professional Counselor
LPC.0005202
CO
103TC0700X
Clinical Psychologist
Primary
PSY.0004148
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30231582
—
CO
Enumeration date
09/09/2008
Last updated
08/25/2020
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