Doctor Name: | LINDA A. PETERS |
NPI Number: | 1356543847 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LISW |
License Number: | I4858 |
Business Practice Address: | 10219 Kimberly Dr Plain City, OH - 430648732 |
Business Phone Number: | 6148733570 |
Business Fax Number: | |
Mailing Address: | 10219 Kimberly Dr, PLAIN CITY |
State: | OH |
Postal Code: | 430648732 |
Phone Number: | 6148733570 |
Fax Number: | |
NPI Enumeration Date: | 06/05/2007 |
NPI Last Update Date: | 12/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I4858 |
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 |