Provider Demographics
NPI:1417007857
Name:HASKETT, LINDA B (PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:B
Last Name:HASKETT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3641 SACRAMENTO ST
Mailing Address - Street 2:SUITE J
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1722
Mailing Address - Country:US
Mailing Address - Phone:415-409-0850
Mailing Address - Fax:707-554-0529
Practice Address - Street 1:3641 SACRAMENTO ST
Practice Address - Street 2:SUITE J
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1722
Practice Address - Country:US
Practice Address - Phone:415-409-0850
Practice Address - Fax:707-554-0529
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY9781103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist