Provider Demographics
NPI:1811758410
Name:LIN, CHING-LAN (PHD)
Entity type:Individual
Prefix:DR
First Name:CHING-LAN
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ROSALINE
Other - Middle Name:
Other - Last Name:LIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:203 LADERA ST APT 28
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-4583
Mailing Address - Country:US
Mailing Address - Phone:573-818-5286
Mailing Address - Fax:
Practice Address - Street 1:COUNSELING AND PSYCHOLOGICAL SERVICES BUILDING 599
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93106-0001
Practice Address - Country:US
Practice Address - Phone:805-893-4411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS019701103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist