Dr. Linda Susan Broeckl, Ph.D.
Psychologist, Clinical in Wpafb, OH. Individual provider (NPI-1).
NPI number1750375697
StatusActive
Last updated in NPPESApr 14, 2015
Details
- NPI
- 1750375697
- Entity type
- Individual (NPI-1)
- Name
- Dr. Linda Susan Broeckl
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 7, 2005
- Last updated
- Apr 14, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 4970 | OH | Yes |
Practice location
4881 Sugar Maple Ave88 Mdos/Sgow
Wpafb, OH 45433
Phone 937-257-6877
Mailing address
4881 Sugar Maple Ave88 Mdos/Sgow
Wpafb, OH 45433
Phone 937-257-6877
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