Provider Demographics
NPI:1033726658
Name:BROOKS, LINDA (CERTIFIED WEIGHT LOS)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:BROOKS
Suffix:
Gender:F
Credentials:CERTIFIED WEIGHT LOS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1926 TROY DR
Mailing Address - Street 2:
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-3662
Mailing Address - Country:US
Mailing Address - Phone:732-859-7400
Mailing Address - Fax:732-449-5871
Practice Address - Street 1:309 MORRIS AVENUE
Practice Address - Street 2:SUITE F
Practice Address - City:SPRING LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07762-1533
Practice Address - Country:US
Practice Address - Phone:732-859-7400
Practice Address - Fax:732-499-5871
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-28
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Multi-Specialty