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General NPI Number Information
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NPI Number | 1922977610
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Entity Type | Organization
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Legal Business Name | SHORELINE PSYCHOLOGY AND WELLNESS CORPORATION
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Dates
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Enumeration Date | 11/01/2025
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Last Update Date | 11/01/2025
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Provider Practice Location Address
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Address Line | 4915 SHORELINE WAY
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City | OXNARD
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State | CA
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Zip | 93035-2840
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Country | US
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Telephone | 747-242-0849
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Fax | 310-919-0376
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Provider Business Mailing Address
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Address Line | 4915 SHORELINE WAY
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City | OXNARD
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State | CA
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Zip | 93035-2840
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Country | US
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Telephone | 747-242-0849
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Fax | 310-919-0376
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Authorized Official
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Title or Position | CEO
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Name | DR. LINKA GRISWOLD
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Credential | PSY.D.
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Telephone | 747-242-0849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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