MS. LINDA CANDLISH


Address: 730 E 2nd St, Bloomsburg, PA 17815-2009
Phone: 5703890547

MS. LINDA CANDLISH (NPI# 1205917093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205917093
Entity Type Individual
Full Name MS. LINDA CANDLISH
Credential MS
Practice Address 730 E 2nd St
Bloomsburg
PA 17815-2009
Practice Telephone 5703890547
Practice Fax Number 5703890547
Mailing Telephone 5703890547
Mailing Fax Number 5703890547
Enumeration Date 2006-10-18
Last Update Date 2011-11-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PS004657L PA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 1017359600004 05

Office Location

Street Address 730 E 2ND ST
City BLOOMSBURG
State PA
Zip Code 17815-2009

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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Competitor

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City BLOOMSBURG
Zip Code 17815

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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