Provider Demographics
NPI:1679982649
Name:TRUESDELL, LYNDA KAYE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LYNDA
Middle Name:KAYE
Last Name:TRUESDELL
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 1:25021 ACACIA LN
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-4961
Mailing Address - Country:US
Mailing Address - Phone:949-280-5020
Mailing Address - Fax:
Practice Address - Street 1:27201 PUERTA REAL
Practice Address - Street 2:STE 300
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-8590
Practice Address - Country:US
Practice Address - Phone:949-280-5020
Practice Address - Fax:855-779-3627
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-04
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26250103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical