Individual
LINDA ZOE PODBROS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
84 COTTAGE ST, SHARON, MA 02067-2133
(781) 784-1739
(781) 784-9488
Mailing address
84 COTTAGE ST, SHARON, MA 02067-2133
(781) 784-1739
(781) 784-9488
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3416
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000943
HARVARD-PILGRIM
MA
05
—
0514306
—
MA
01
—
5646184
AETNA
MA
01
—
706592
TUFTS HEALTH PLAN
MA
01
—
VC6000029068
COMMONWEALTH OF MA VENDOR
MA
01
—
W03577
BLUE CROSS-BLUE SHIELD
MA
Enumeration date
04/17/2006
Last updated
07/09/2007
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