Provider Demographics
NPI:1194806224
Name:LINAMAN, TODD EDWIN (PHD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:EDWIN
Last Name:LINAMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7355 N. ORACLE RD.
Mailing Address - Street 2:SUITE 106
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6326
Mailing Address - Country:US
Mailing Address - Phone:520-219-8377
Mailing Address - Fax:520-219-8450
Practice Address - Street 1:7355 N. ORACLE RD.
Practice Address - Street 2:SUITE 106
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-6326
Practice Address - Country:US
Practice Address - Phone:520-219-8377
Practice Address - Fax:520-219-8450
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3476103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0615760OtherBLUE CROSS BLUE SHIELD ID