Provider Demographics
NPI:1457646978
Name:ASANTE-ACKUAYI, LINDA AUDREY (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:AUDREY
Last Name:ASANTE-ACKUAYI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:AUDREY
Other - Last Name:ASANTE-MANU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:368 TORNGA DR
Mailing Address - Street 2:
Mailing Address - City:RIPON
Mailing Address - State:CA
Mailing Address - Zip Code:95366-9379
Mailing Address - Country:US
Mailing Address - Phone:209-402-6804
Mailing Address - Fax:
Practice Address - Street 1:1700 MOUNT VERNON AVE
Practice Address - Street 2:RM 3051
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-4018
Practice Address - Country:US
Practice Address - Phone:661-326-5411
Practice Address - Fax:661-862-7682
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-13
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1167232084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry