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NPI Code Detail

MEDICARE: DR. LINDA ALTES PH.D.

MEDICARE:  DR. LINDA  ALTES  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistPSY11113CA

General Provider Information

NPI Number : 1417947235
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA ALTES PH.D.
Provider Business Mailing Address
First Line : 4350 EXECUTIVE DR
Second Line : STE. 255
City : SAN DIEGO
State : CA
Zip : 92121-2115
Country : US
Telephone Number : 858-824-1914
Fax Number : 858-824-1916
Provider Business Practice Location Address
First Line : 4350 EXECUTIVE DR
Second Line : STE. 255
City : SAN DIEGO
State : CA
Zip : 92121-2115
Country : US
Telephone Number : 858-824-1914
Fax Number : 858-824-1916
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2005
Last Update Date : 02/19/2009

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Directions to “ DR. LINDA ALTES PH.D.” Practice Location

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