Individual
LINDA GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
63 CREEK VIEW CIR, LARKSPUR, CA 94939-1490
(715) 753-2312
Mailing address
63 CREEK VIEW CIR, LARKSPUR, CA 94939-1490
(715) 753-2312
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
829183123
—
CA
Enumeration date
07/02/2021
Last updated
07/02/2021
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