Provider Demographics
NPI:1942337555
Name:VERMOOTEN, LINDA JOY (PSYD PLP LMHP)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:JOY
Last Name:VERMOOTEN
Suffix:
Gender:F
Credentials:PSYD PLP LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4535 NORMAL BLVD
Mailing Address - Street 2:SUITE 262
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-2892
Mailing Address - Country:US
Mailing Address - Phone:402-440-4537
Mailing Address - Fax:402-327-9746
Practice Address - Street 1:4535 NORMAL BLVD
Practice Address - Street 2:SUITE 262
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2892
Practice Address - Country:US
Practice Address - Phone:402-440-4537
Practice Address - Fax:402-327-9746
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2418101YM0800X
NE276103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE85215OtherBLUE CROSS BLUE SHIELD
NE10025218700Medicaid