Provider Demographics
NPI:1265585053
Name:HOHLWEG, LINDA S (PH D)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:S
Last Name:HOHLWEG
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 23RD AVE
Mailing Address - Street 2:STE #113
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606-5346
Mailing Address - Country:US
Mailing Address - Phone:619-990-0452
Mailing Address - Fax:
Practice Address - Street 1:3637 GRAND AVE
Practice Address - Street 2:STE C
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-2029
Practice Address - Country:US
Practice Address - Phone:619-990-0452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20485103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist