Provider Demographics
NPI:1750707667
Name:ENGLAND, LINDA
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:ENGLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 S PACIFIC COAST HWY
Mailing Address - Street 2:#204
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-5606
Mailing Address - Country:US
Mailing Address - Phone:310-908-7205
Mailing Address - Fax:
Practice Address - Street 1:1611 S PACIFIC COAST HWY
Practice Address - Street 2:#204
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-5606
Practice Address - Country:US
Practice Address - Phone:310-908-7205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-16
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 88228106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist