Linda Brockman, PH.D.
Individual provider Active NPI Clinical Psychologist · Zephyr Cove, NV
NPI 1104097377 · NPPES record last updated Mar 17, 2008
Key facts
- NPI
- 1104097377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY 270 (NV)
- Practice address
- 1060 Skyland Drive
Zephyr Cove, NV 89448-3152 - Phone
- (530) 318-5868
- NPI assigned
- Mar 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 270 | NV | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 270 | NV | Yes |
Addresses
Primary practice location
1060 Skyland Drive
Zephyr Cove, NV 89448-3152
Mailing address
PO Box 11152
Zephyr Cove, NV 89448-3152
Phone (530) 318-5868
Other providers in Zephyr Cove, NV
- Ascend Medical, Inc
- Mikel Scott Ashby
- Shahin Banayan
- Barton Healthcare System
- Mark Brennan
- Diana L. Brown
- Robert Francis Desipio Jr.
- Elizabeth Erin Eisenlohr
- Christina Chandra Frohlich
- Jonathan Taylor Hagen
All providers in Zephyr Cove, NV · Clinical Psychologist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.