Healthcare Provider Details

I. General information

NPI: 1821324559
Provider Name (Legal Business Name): AMY WEI LINSAO PSYD, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY WEI KONG

II. Dates (important events)

Enumeration Date: 10/30/2009
Last Update Date: 04/08/2024
Certification Date: 04/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 BISSO LN STE 200
CONCORD CA
94520-4886
US

IV. Provider business mailing address

2425 BISSO LN STE 200
CONCORD CA
94520-4886
US

V. Phone/Fax

Practice location:
  • Phone: 925-521-5708
  • Fax:
Mailing address:
  • Phone: 925-521-5708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY34977
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT52839
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBCBA 1-14-9980
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: