Provider Demographics
NPI:1467708602
Name:FOY, LYNNETTE LINNEN (RAS/MFT)
Entity Type:Individual
Prefix:MS
First Name:LYNNETTE
Middle Name:LINNEN
Last Name:FOY
Suffix:
Gender:F
Credentials:RAS/MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22628 7TH ST
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-3014
Mailing Address - Country:US
Mailing Address - Phone:510-557-0636
Mailing Address - Fax:
Practice Address - Street 1:22628 7TH ST
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-3014
Practice Address - Country:US
Practice Address - Phone:510-557-0636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-25
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL0403301054101YA0400X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist