Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PSY7050 | CA |
Y | 103T00000X | Psychologist | PSY7050 | CA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY7050 | CA |
NPI | 1164635124 |
---|---|
Provider Name | Dr. Linda K Ormiston |
First Address | Rohnert Park, CA 94928-2937 |
Second Address | Rohnert Park, CA 94928-2937 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 12/05/2016 |