Healthcare Provider Details

I. General information

NPI: 1508780446
Provider Name (Legal Business Name): LINDA SOTO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4852 KINROSS CT
MERCED CA
95348-8568
US

IV. Provider business mailing address

4852 KINROSS CT
MERCED CA
95348-8568
US

V. Phone/Fax

Practice location:
  • Phone: 209-216-9278
  • Fax:
Mailing address:
  • Phone: 209-216-9278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number250190336
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: