Individual
DR. LINDA NIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
E3411-S
OH
103T00000X
Psychologist
Primary
6293
OH
Other
Enumeration date
10/03/2006
Last updated
02/03/2016
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