Provider Demographics
NPI:1326423740
Name:LAFFEY, LINDA K (MA, MFT)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:K
Last Name:LAFFEY
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 S REINO RD STE I
Mailing Address - Street 2:STE 209
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-4270
Mailing Address - Country:US
Mailing Address - Phone:805-375-5780
Mailing Address - Fax:805-374-1774
Practice Address - Street 1:5743 CORSA AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-4027
Practice Address - Country:US
Practice Address - Phone:805-375-5860
Practice Address - Fax:805-374-1774
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 37134106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist