Provider Demographics
NPI:1891459624
Name:ALGAZI, LINDA P (PHD)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:P
Last Name:ALGAZI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 POINT LOMA DR
Mailing Address - Street 2:
Mailing Address - City:CORONA DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92625-1026
Mailing Address - Country:US
Mailing Address - Phone:949-244-4074
Mailing Address - Fax:
Practice Address - Street 1:8 POINT LOMA DR
Practice Address - Street 2:
Practice Address - City:CORONA DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92625-1026
Practice Address - Country:US
Practice Address - Phone:949-244-4074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14947103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist