Provider Demographics
NPI:1841225638
Name:ERWIN-GALLAGHER, LINDA W (LMFT,CEAP)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:W
Last Name:ERWIN-GALLAGHER
Suffix:
Gender:F
Credentials:LMFT,CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8596 RUMEX LANE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129
Mailing Address - Country:US
Mailing Address - Phone:858-610-1460
Mailing Address - Fax:619-533-3459
Practice Address - Street 1:2423 CAMINO DEL RIO S
Practice Address - Street 2:SUITE 104
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3702
Practice Address - Country:US
Practice Address - Phone:858-610-1460
Practice Address - Fax:619-533-3459
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC15021106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist