Provider Demographics
NPI:1215110911
Name:COMIN, LINDA M (PSYD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:COMIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1816 MAGNOLIA CT
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054
Mailing Address - Country:US
Mailing Address - Phone:951-972-7221
Mailing Address - Fax:951-972-4737
Practice Address - Street 1:1816 MAGNOLIA CT
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-0601
Practice Address - Country:US
Practice Address - Phone:951-972-7221
Practice Address - Fax:951-972-4737
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-17
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3340103TC0700X
CA22670103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical