Provider Demographics
NPI:1255542510
Name:MOOSBRUGGER, LINDA (PHD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:MOOSBRUGGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6077 FRANTZ RD
Mailing Address - Street 2:STE 107
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-3373
Mailing Address - Country:US
Mailing Address - Phone:614-889-6667
Mailing Address - Fax:
Practice Address - Street 1:6077 FRANTZ RD
Practice Address - Street 2:STE 107
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-3373
Practice Address - Country:US
Practice Address - Phone:614-889-6667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3816103TC0700X, 103TC2200X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy