Provider Demographics
NPI:1992008684
Name:LINVILLE, DEANNA (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:DEANNA
Middle Name:
Last Name:LINVILLE
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1188 OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3547
Mailing Address - Country:US
Mailing Address - Phone:503-272-1750
Mailing Address - Fax:
Practice Address - Street 1:1188 OLIVE ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3547
Practice Address - Country:US
Practice Address - Phone:503-272-1750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-18
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT0454101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health