Provider Demographics
NPI:1164750956
Name:CHOW, LINDA YI (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:YI
Last Name:CHOW
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12555 CENTRAL AVE STE C
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-3569
Mailing Address - Country:US
Mailing Address - Phone:909-902-1082
Mailing Address - Fax:909-628-3983
Practice Address - Street 1:12555 CENTRAL AVE STE C
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-3569
Practice Address - Country:US
Practice Address - Phone:909-902-1082
Practice Address - Fax:909-628-3983
Is Sole Proprietor?:No
Enumeration Date:2009-12-07
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY18165103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical