Individual
LINDA DE ANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2140 E VIRGINIA AVE, PHOENIX, AZ 85006-1324
(602) 381-6120
Mailing address
5401 E THOMAS RD UNIT 1036, PHOENIX, AZ 85018-8134
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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