Individual
LINDA HERON WIND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8042 MAIN STREET FISHERS, VICTOR, NY 14564-8907
(585) 924-5620
(585) 924-5620
Mailing address
8042 MAIN STREET FISHERS, VICTOR, NY 14564-8907
(585) 924-5620
(585) 924-5620
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
007829-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100250FC
PREFERRED CARE PROVIDER N
NY
01
—
7242413
AETNA PROVIDER NUMBER
NY
Enumeration date
01/03/2007
Last updated
07/08/2007
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