Provider Demographics
NPI:1679928667
Name:LANDA, CRYSTAL (LMFT)
Entity type:Individual
Prefix:MS
First Name:CRYSTAL
Middle Name:
Last Name:LANDA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4537 EDWARDS LN
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-4734
Mailing Address - Country:US
Mailing Address - Phone:510-706-6000
Mailing Address - Fax:
Practice Address - Street 1:4537 EDWARDS LN
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-4734
Practice Address - Country:US
Practice Address - Phone:510-690-1330
Practice Address - Fax:510-690-1331
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-27
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist