Healthcare Provider Details

I. General information

NPI: 1689720237
Provider Name (Legal Business Name): LINDA A. KLINE LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 03/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2920 CAMINO DIABLO SUITE 130
WALNUT CREEK CA
94597-3985
US

IV. Provider business mailing address

2920 CAMINO DIABLO SUITE 130
WALNUT CREEK CA
94597-3985
US

V. Phone/Fax

Practice location:
  • Phone: 925-296-0260
  • Fax: 925-296-9620
Mailing address:
  • Phone: 925-296-0260
  • Fax: 925-296-9620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number46714
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: