| Doctor Name: | LINH-HAN IKEHARA |
| NPI Number: | 1164822425 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSW |
| License Number: | S-1500662 |
| Business Practice Address: | 50 Greenwood Ln Springboro, OH - 450663033 |
| Business Phone Number: | 9377461154 |
| Business Fax Number: | 9377468523 |
| Mailing Address: | 204 Cook Rd, Suite 400 LEBANON |
| State: | OH |
| Postal Code: | 450369600 |
| Phone Number: | 5132287800 |
| Fax Number: | 5136952952 |
| NPI Enumeration Date: | 08/23/2014 |
| NPI Last Update Date: | 08/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | S-1500662 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |