Provider Demographics
NPI:1427490333
Name:SUBBIONDO, SARALINDA ROSA (LMFT)
Entity type:Individual
Prefix:MS
First Name:SARALINDA
Middle Name:ROSA
Last Name:SUBBIONDO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:NA
Other - Middle Name:
Other - Last Name:NA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:22 ALTA CIR
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-5602
Mailing Address - Country:US
Mailing Address - Phone:310-433-7395
Mailing Address - Fax:
Practice Address - Street 1:22 ALTA CIR
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940
Practice Address - Country:US
Practice Address - Phone:310-433-7395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-19
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44467106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANAOtherNA