Provider Demographics
NPI:1073214870
Name:MICHELLE LIN PHD PSYCHOLOGY SERVICES, INC.
Entity Type:Organization
Organization Name:MICHELLE LIN PHD PSYCHOLOGY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:626-268-1781
Mailing Address - Street 1:411 E HUNTINGTON DR
Mailing Address - Street 2:STE 107 #1098
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006
Mailing Address - Country:US
Mailing Address - Phone:626-268-1781
Mailing Address - Fax:
Practice Address - Street 1:411 E HUNTINGTON DR STE 107
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3787
Practice Address - Country:US
Practice Address - Phone:626-268-1781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health