Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | E3411-S | OH |
Y | 102L00000X | Psychologist | 6293 | OH |
Y | 103T00000X | Psychologist | 6293 | OH |
NPI | 1003900077 |
---|---|
Provider Name | Dr. Linda Nist |
First Address | New Philadelphia, OH 44663-4147 |
Second Address | New Philadelphia, OH 44663-4147 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 03/02/2016 |