Provider Demographics
NPI:1316080807
Name:ANKENEY, LINDA (MA)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:ANKENEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11811 CARAMAY WAY
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95602-7702
Mailing Address - Country:US
Mailing Address - Phone:530-885-6161
Mailing Address - Fax:916-676-0543
Practice Address - Street 1:1380 LEAD HILL BLVD
Practice Address - Street 2:SUITE 160
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-2941
Practice Address - Country:US
Practice Address - Phone:530-885-6161
Practice Address - Fax:916-676-0543
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2016-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 48267106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist