Doctor Name: | LINDA BERKS |
NPI Number: | 1043319452 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | I-0004720 |
Business Practice Address: | 73 Mill St Ste A Gahanna, OH - 432303080 |
Business Phone Number: | 6144789309 |
Business Fax Number: | |
Mailing Address: | 7528 Alpath Rd, NEW ALBANY |
State: | OH |
Postal Code: | 430549625 |
Phone Number: | 6148559923 |
Fax Number: | |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | I-0004720 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |