Provider Demographics
NPI:1821392440
Name:TAYLOR LINDER, STACY JANEL (LMFT)
Entity Type:Individual
Prefix:MS
First Name:STACY
Middle Name:JANEL
Last Name:TAYLOR LINDER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 PINE ST STE 106
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-3633
Mailing Address - Country:US
Mailing Address - Phone:925-787-7965
Mailing Address - Fax:925-837-0568
Practice Address - Street 1:1250 PINE ST STE 106
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-3633
Practice Address - Country:US
Practice Address - Phone:925-787-7965
Practice Address - Fax:925-837-0568
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-23
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA#IMF 62290106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist