Basic Information
| Provider Information | |||||||||
| NPI: | 1407831860 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GALINDO | ||||||||
| FirstName: | LINDA | ||||||||
| MiddleName: | L. | ||||||||
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| NameSuffix: | |||||||||
| Credential: | PHD | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 660599 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752660599 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 7272 WURZBACH RD STE 706 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782404803 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106153483 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/08/2005 | ||||||||
| LastUpdateDate: | 09/10/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 09/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 2-4689 | TX | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
ID Information
| ID | Type | State | Issuer | Description | 148310909 | 05 | TX | MEDICAID | 148310905 | 05 | TX | MEDICAID | 148310912 | 05 | TX | MEDICAID | 148310911 | 05 | TX | MEDICAID | 148310901 | 05 | TX | MEDICAID | 148310907 | 05 | TX | MEDICAID | 148310903 | 05 | TX | MEDICAID | 148310904 | 05 | TX | MEDICAID | 148310910 | 05 | TX | MEDICAID | 148310902 | 05 | TX | MEDICAID | 148310906 | 05 | TX | MEDICAID | 87247A | 01 | TX | BLUE CROSS BLUE SHIELD | OTHER | 148310908 | 05 | TX | MEDICAID |