Healthcare Provider Details

I. General information

NPI: 1588740666
Provider Name (Legal Business Name): LINDA K. SCHMECHEL PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1366 NW WHIPPLE AVE
ROSEBURG OR
97470-1863
US

IV. Provider business mailing address

7540 SOUTH ST
LINCOLN NE
68506-3059
US

V. Phone/Fax

Practice location:
  • Phone: 541-957-9994
  • Fax:
Mailing address:
  • Phone: 541-957-9994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1611
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number13
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: