Individual
MISS LINDA MADELEINE PRAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2830 I ST, # 104, SACRAMENTO, CA 95816-4311
(916) 955-6466
Mailing address
2830 I STREET, #104, SACRAMENTO, CA 95816
(916) 955-6466
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSB94021450
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680325078
PRIVATE PRACTICE IN CLINICAL PSYCHOLOGY
CA
Enumeration date
11/02/2010
Last updated
04/05/2015
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