Doctor Name: | LINDA MARIE ALDRIDGE |
NPI Number: | 1649513607 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 6302 Thirteenth Avenue Lucerne, CA - 95458 |
Business Phone Number: | 7072749101 |
Business Fax Number: | 7072749102 |
Mailing Address: | P.o. Box 1024 6302 Thirteenth Avenue, LUCERNE |
State: | CA |
Postal Code: | 95458 |
Phone Number: | 7072749101 |
Fax Number: | 7072749102 |
NPI Enumeration Date: | 03/28/2013 |
NPI Last Update Date: | 03/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |