Provider Demographics
NPI:1083492102
Name:VANATTA, LINDA
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:VANATTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E BIGELOW AVE
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-4245
Mailing Address - Country:US
Mailing Address - Phone:419-306-0235
Mailing Address - Fax:
Practice Address - Street 1:200 E BIGELOW AVE
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-4245
Practice Address - Country:US
Practice Address - Phone:419-306-0235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker