MEDICARE: ANN LOUISE LINK PH.D.

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	103T00000X	Psychologist	PSY10358	CA

General Provider Information

NPI Number	:	1912015421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN LOUISE LINK PH.D.

Provider Business Mailing Address
First Line	:	5801 NORTH AVE
Second Line	:
City	:	CARMICHAEL
State	:	CA
Zip	:	95608-3723
Country	:	US
Telephone Number	:	916-489-6082
Fax Number	:	916-489-5624

Provider Business Practice Location Address
First Line	:	5801 NORTH AVE
Second Line	:
City	:	CARMICHAEL
State	:	CA
Zip	:	95608-3723
Country	:	US
Telephone Number	:	916-489-6082
Fax Number	:	916-489-5624

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

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	07/08/2007

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Directions to “ ANN LOUISE LINK PH.D.” Practice Location

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