Provider Demographics
NPI:1952519407
Name:AHMED, LINDA M (MSW,PHD)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:M
Last Name:AHMED
Suffix:
Gender:F
Credentials:MSW,PHD
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:MARIE
Other - Last Name:BAPTISTE-AHMED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9260 PANOZ CT
Mailing Address - Street 2:
Mailing Address - City:PATTERSON
Mailing Address - State:CA
Mailing Address - Zip Code:95363-8538
Mailing Address - Country:US
Mailing Address - Phone:209-895-4443
Mailing Address - Fax:510-777-3806
Practice Address - Street 1:7200 BANCROFT AVE #125A
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:95363
Practice Address - Country:US
Practice Address - Phone:510-777-3833
Practice Address - Fax:510-777-3806
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15326104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker