Healthcare Provider Details

I. General information

NPI: 1487879268
Provider Name (Legal Business Name): JUDITH LINZER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20200 REDWOOD ROAD SUITE 2
CASTRO VALLEY CA
94546
US

IV. Provider business mailing address

4096 PIEDMONT AVE SUITE 320
OAKLAND CA
94611
US

V. Phone/Fax

Practice location:
  • Phone: 510-887-8819
  • Fax: 510-655-7974
Mailing address:
  • Phone: 510-887-8819
  • Fax: 510-655-7974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY9833
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY9833
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY9833
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License NumberPSY9833
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License NumberPSY9833
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: