Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 95778 | |
N | 101YP2500X | Professional Counselor | 95778 | |
N | 103TR0400X | Rehabilitation Psychologist | 0095778 |
NPI | 1437303732 |
---|---|
Provider Name | Linda Gail Kinzler |
First Address | Dayton, OH 45428-9000 |
Second Address | Dayton, OH 45428-9000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2008 |
Last Update Date | 13/11/2008 |