National Provider Identifier

Linda R. Broberg, LMSW

Linda R. Broberg, LMSW is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Canandaigua, NY and a listed phone number of (585) 393-7770.

NPI 1235311655Canandaigua, NYMental Health Counselor

Profile Overview

NPI
1235311655
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
November 27, 2007
Last Updated
November 27, 2007

Practice Location

  • 400 Fort Hill Ave
  • Canandaigua, NY 14424-1159

Phone: (585) 393-7770

Mailing Address

  • 73 Authors Ave
  • Henrietta, NY 14467-9329

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1235311655
Entity Type
Individual
Last Name
Broberg
First Name
Linda
Middle Name
R.
Name Prefix
MS.
Credential
LMSW
Mailing Street Address
73 Authors Ave
Mailing City
Henrietta
Mailing State
NY
Mailing ZIP Code
14467-9329
Mailing Country
US
Practice Street Address
400 Fort Hill Ave
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1159
Practice Country
US
Practice Phone
(585) 393-7770
Enumeration Date
November 27, 2007
Last Updated
November 27, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)