Doctor Name: | DR. LINDA K ORMISTON |
NPI Number: | 1164635124 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PSY7050 |
Business Practice Address: | 5425 Snyder Ln Apt 52 Rohnert Park, CA - 949282937 |
Business Phone Number: | 4153220264 |
Business Fax Number: | |
Mailing Address: | 5425 Snyder Ln, Apt 52 ROHNERT PARK |
State: | CA |
Postal Code: | 949282937 |
Phone Number: | 4153220264 |
Fax Number: | |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 05/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | PSY7050 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |