Healthcare Provider Details

I. General information

NPI: 1285986281
Provider Name (Legal Business Name): LINDA PHOSALY KLITGAARD PHD, LP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDA PHOSALY

II. Dates (important events)

Enumeration Date: 10/15/2012
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18021 OAK ST STE A
OMAHA NE
68130-6099
US

IV. Provider business mailing address

18021 OAK ST STE A
OMAHA NE
68130-6099
US

V. Phone/Fax

Practice location:
  • Phone: 402-986-6250
  • Fax: 402-702-0006
Mailing address:
  • Phone: 402-986-6250
  • Fax: 402-702-0006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1016
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number1016
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: