Doctor Name: | LINDA W TATE |
NPI Number: | 1114051760 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSC II |
License Number: | N9219988 |
Business Practice Address: | 1027 Alabama St Vallejo, CA - 945904511 |
Business Phone Number: | 7075581600 |
Business Fax Number: | 7075581606 |
Mailing Address: | 1080 Marina Village Pkwy, Suite 100 ALAMEDA |
State: | CA |
Postal Code: | 945016427 |
Phone Number: | 5107470527 |
Fax Number: | 5103377969 |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 07/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | N9219988 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |