Basic Information
| Provider Information | |||||||||
| NPI: | 1235452376 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LIN | ||||||||
| FirstName: | SHIHGEE | ||||||||
| MiddleName: | ESTHER | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | M.S. & MA/MFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9353 VALLEY BLVD | ||||||||
| Address2: | |||||||||
| City: | ROSEMEAD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917701934 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9492534085 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 9353 EAST VALLEY BLVD. | ||||||||
| Address2: | |||||||||
| City: | ROSEMEAD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917701934 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6262872988 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/03/2010 | ||||||||
| LastUpdateDate: | 07/31/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 51867 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.