Individual
DR. LINDA JEAN HEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3313 N HILLIARD ST, FRESNO, CA 93726-5854
(559) 227-4810
(559) 227-4167
Mailing address
4834 N HARRISON AVE, FRESNO, CA 93704-2911
(559) 227-9378
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY19509
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00138035
RAILROAD MEDICARE
CA
01
—
PSY 19509
CA STATE LICENSE
CA
01
—
PSY195090
MEDICAID PROVIDER NUMBER
CA
05
—
Q06572
—
CA
Enumeration date
07/14/2006
Last updated
06/26/2008
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