Basic Information
| Provider Information | |||||||||
| NPI: | 1831224591 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RIVADENEYRA | ||||||||
| FirstName: | LINDA | ||||||||
| MiddleName: | P. | ||||||||
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| Credential: | LMFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 27345 SANTA CLARITA RD. | ||||||||
| Address2: | |||||||||
| City: | SAUGUS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 91350 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6618575381 | ||||||||
| FaxNumber: | 3239992414 | ||||||||
| Practice Location | |||||||||
| Address1: | LINDA RIVADENEYRA, LMFT | ||||||||
| Address2: | 99 S. CHESTER AVE., SUITE 102 | ||||||||
| City: | PASADENA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 91106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6618575381 | ||||||||
| FaxNumber: | 3239992414 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/22/2007 | ||||||||
| LastUpdateDate: | 04/12/2019 | ||||||||
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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 | MFC34416 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.