Individual
DR. LINDA SUSAN BROECKL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4881 SUGAR MAPLE AVE, 88 MDOS/SGOW, WPAFB, OH 45433
(937) 257-6877
Mailing address
4881 SUGAR MAPLE AVE, 88 MDOS/SGOW, WPAFB, OH 45433
(937) 257-6877
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4970
OH
Other
Enumeration date
09/07/2005
Last updated
04/14/2015
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