Provider Demographics
NPI:1881765956
Name:LINDE, GERALD B (PHD, MFT)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:B
Last Name:LINDE
Suffix:
Gender:M
Credentials:PHD, MFT
Other - Prefix:DR
Other - First Name:JED
Other - Middle Name:
Other - Last Name:LINDE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, MFT
Mailing Address - Street 1:19 CATALINA AVE
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-1319
Mailing Address - Country:US
Mailing Address - Phone:831-759-7670
Mailing Address - Fax:831-424-4727
Practice Address - Street 1:344 SALINAS ST
Practice Address - Street 2:SUITE 105C
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2727
Practice Address - Country:US
Practice Address - Phone:831-759-7670
Practice Address - Fax:831-424-4727
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC15961106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist