Provider Demographics
NPI:1316077522
Name:BARAJAS-CALKINS, ROSALINDA LUISA (PSYD)
Entity type:Individual
Prefix:DR
First Name:ROSALINDA
Middle Name:LUISA
Last Name:BARAJAS-CALKINS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ROSALINDA
Other - Middle Name:LUISA
Other - Last Name:BARAJAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:PO BOX 212
Mailing Address - Street 2:
Mailing Address - City:AZUSA
Mailing Address - State:CA
Mailing Address - Zip Code:91702-0212
Mailing Address - Country:US
Mailing Address - Phone:626-975-3022
Mailing Address - Fax:
Practice Address - Street 1:540 S EREMLAND DR
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-3186
Practice Address - Country:US
Practice Address - Phone:626-966-1577
Practice Address - Fax:626-331-4529
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY21732103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSY21732OtherCALIFORNIA BOARD OF PSYCHOLOGY