Provider Demographics
NPI:1558496406
Name:GRISWOLD, LINKA (LMFT, PSYD)
Entity type:Individual
Prefix:MRS
First Name:LINKA
Middle Name:
Last Name:GRISWOLD
Suffix:
Gender:F
Credentials:LMFT, PSYD
Other - Prefix:DR
Other - First Name:LINKA
Other - Middle Name:
Other - Last Name:GRISWOLD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:26500 AGOURA RD # 102-413
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1952
Mailing Address - Country:US
Mailing Address - Phone:310-570-9927
Mailing Address - Fax:
Practice Address - Street 1:26500 AGOURA RD STE 102
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-3571
Practice Address - Country:US
Practice Address - Phone:747-242-0849
Practice Address - Fax:310-919-0376
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY35149103T00000X
CA98245106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist