Healthcare Provider Details

I. General information

NPI: 1366696635
Provider Name (Legal Business Name): LINNEA ESTES TERRANOVA PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2008
Last Update Date: 11/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 CIRCLE DR
SALINAS CA
93905-2150
US

IV. Provider business mailing address

175 FORD RD
CARMEL VALLEY CA
93924-9621
US

V. Phone/Fax

Practice location:
  • Phone: 831-757-6237
  • Fax: 831-757-8458
Mailing address:
  • Phone: 831-659-1259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY22287
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: