Provider Demographics
NPI:1811131857
Name:LINDEMAN, MAHSA A (MS, LMFT)
Entity type:Individual
Prefix:
First Name:MAHSA
Middle Name:A
Last Name:LINDEMAN
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 N WIGET LN STE 275
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-5922
Mailing Address - Country:US
Mailing Address - Phone:925-289-9733
Mailing Address - Fax:
Practice Address - Street 1:190 N WIGET LN STE 275
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-5922
Practice Address - Country:US
Practice Address - Phone:925-289-9733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2019-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59439101YM0800X
CA50489106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health