Provider Demographics
NPI:1447323365
Name:LINARES, ANA F (PSYD)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:F
Last Name:LINARES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13611 WEYCROFT CIR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-8528
Mailing Address - Country:US
Mailing Address - Phone:312-330-4855
Mailing Address - Fax:
Practice Address - Street 1:13611 WEYCROFT CIR
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-8528
Practice Address - Country:US
Practice Address - Phone:312-330-4855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2022-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007700103TC0700X
GAPSY003995103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical