MEDICARE: MRS. LINDA W. ERWIN-GALLAGHER LMFT,CEAP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFC15021	CA

General Provider Information

NPI Number	:	1841225638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDA W. ERWIN-GALLAGHER LMFT,CEAP

Provider Business Mailing Address
First Line	:	8596 RUMEX LANE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92129
Country	:	US
Telephone Number	:	858-610-1460
Fax Number	:	619-533-3459

Provider Business Practice Location Address
First Line	:	2423 CAMINO DEL RIO S
Second Line	:	SUITE 104
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3702
Country	:	US
Telephone Number	:	858-610-1460
Fax Number	:	619-533-3459

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	04/30/2009

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