Healthcare Provider Details

I. General information

NPI: 1346390374
Provider Name (Legal Business Name): LINDA LINN WEBSTER ROBINSON PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 08/15/2022
Certification Date: 08/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 W 10TH ST
ANTIOCH CA
94509-1653
US

IV. Provider business mailing address

4528 STALLION WAY
ANTIOCH CA
94531-8137
US

V. Phone/Fax

Practice location:
  • Phone: 925-777-9540
  • Fax: 925-757-9024
Mailing address:
  • Phone: 925-778-3050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY12187
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY12187
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: