Brogdon, Lynda A
Brogdon, Lynda A is an sole proprietor health care provider with primary practice located at 2300 Killearn Center Blvd , Tallahassee FL 32309-3524. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Brogdon, Lynda A can be contacted via phone (850) 893-8800.Contact Information
Primary practice address
2300 Killearn Center Blvd
Tallahassee FL 32309-3524
Phone: (850) 893-8800
Fax: (850) 893-6994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | PY4363 | Florida |
Profile Details
| NPI number | 1669401865 |
|---|---|
| LBN Legal business name | Brogdon, Lynda A |
| Credentials | PH.D, |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669401865 | NPPES |
| Florida | Other | 73708 | BLUE CROSS BLUE SHIELD |
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