Individual
DR. LINDA VOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12 ROOSEVELT AVE, MYSTIC, CT 06355-2809
(860) 536-4383
(860) 536-2873
Mailing address
240 NOANK RD, MYSTIC, CT 06355-2450
(860) 536-0730
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001420
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000228
PROFESSIONAL COUNSELOR
CT
Enumeration date
09/25/2006
Last updated
07/08/2007
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