Provider Demographics
NPI:1730307687
Name:ESPINOZA RODAS, ROSA LINDA (PHD MFT)
Entity Type:Individual
Prefix:DR
First Name:ROSA
Middle Name:LINDA
Last Name:ESPINOZA RODAS
Suffix:
Gender:F
Credentials:PHD MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3523
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92674
Mailing Address - Country:US
Mailing Address - Phone:949-498-6987
Mailing Address - Fax:949-492-0487
Practice Address - Street 1:31952 CAMINO CAPISTRANO STE C12
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675
Practice Address - Country:US
Practice Address - Phone:949-498-6987
Practice Address - Fax:949-492-0487
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17309103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical