Provider Demographics
NPI:1447497839
Name:PRICE, LINDA MARY (PHD, PSYCHOTHERAPIST)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:MARY
Last Name:PRICE
Suffix:
Gender:F
Credentials:PHD, PSYCHOTHERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6655 3RD PL SW
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32968-3180
Mailing Address - Country:US
Mailing Address - Phone:714-328-9798
Mailing Address - Fax:
Practice Address - Street 1:2230 W CHAPMAN AVE STE 226
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2316
Practice Address - Country:US
Practice Address - Phone:714-328-9798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-07
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48863106H00000X
CA55933101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral