Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 017918-1 | NY |
N | 103TE1100X | Exercise & Sports Psychologist | 017918-1 | NY |
NPI | 1043830607 |
---|---|
Provider Name | Dr. Shuping Lin |
First Address | Bexley, OH 43209-1811 |
Second Address | Columbus, OH 43206-2527 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2020 |
Last Update Date | 23/04/2020 |