Individual
LINDA PHOSALY KLITGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
13460 WALSH DR, BOYS TOWN, NE 68010-7529
(531) 355-3358
(531) 355-3375
Mailing address
13460 WALSH DR, BOYS TOWN, NE 68010-7529
(531) 355-3358
(531) 355-3375
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5367
NE
101Y00000X
Counselor
605
NE
103T00000X
Psychologist
Primary
1016
NE
Other
Enumeration date
10/15/2012
Last updated
08/28/2020
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