Doctor Name: | DR. LINDA NIST |
NPI Number: | 1003900077 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | E3411-S |
Business Practice Address: | 1260 Monroe Ave Suite 1a New Philadelphia, OH - 446634147 |
Business Phone Number: | 3306025339 |
Business Fax Number: | 3306024388 |
Mailing Address: | 1260 Monroe Ave. Suite 1a, NEW PHILADELPHIA |
State: | OH |
Postal Code: | 446634147 |
Phone Number: | 3306025339 |
Fax Number: | 3306024388 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 02/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E3411-S |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |