Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | PA1008743 | OH |
NPI | 1023408556 |
---|---|
Provider Name | Robert Linardi |
First Address | Whitehall, OH 43213-2861 |
Second Address | Whitehall, OH 43213-2861 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2015 |
Last Update Date | 05/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PA1008743 | STATE SCHOOL PSYCHOLOGIST LICENSE NUMBER (01) | OH |