Provider Demographics
NPI:1821324559
Name:LINSAO, AMY WEI (PSYD, LMFT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:WEI
Last Name:LINSAO
Suffix:
Gender:F
Credentials:PSYD, LMFT
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:WEI
Other - Last Name:KONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2425 BISSO LN STE 200
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-4886
Mailing Address - Country:US
Mailing Address - Phone:925-521-5708
Mailing Address - Fax:
Practice Address - Street 1:2425 BISSO LN STE 200
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-4886
Practice Address - Country:US
Practice Address - Phone:925-521-5708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-30
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CABCBA 1-14-9980103K00000X
CALMFT52839106H00000X
CAPSY34977103TC0700X
CAMFC52839106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical