Provider Demographics
NPI:1093895963
Name:FREEMAN, LINDA M (MS)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 HARRISON AVE
Mailing Address - Street 2:SUITE 205-A
Mailing Address - City:HARRISON
Mailing Address - State:OH
Mailing Address - Zip Code:45030-2503
Mailing Address - Country:US
Mailing Address - Phone:513-367-6823
Mailing Address - Fax:513-367-2489
Practice Address - Street 1:1150 HARRISON AVE
Practice Address - Street 2:SUITE 205-A
Practice Address - City:HARRISON
Practice Address - State:OH
Practice Address - Zip Code:45030-2503
Practice Address - Country:US
Practice Address - Phone:513-367-6823
Practice Address - Fax:513-367-2489
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39000565A101YM0800X
OHS00141991041C0700X
IN35001373A106H00000X
OHF, 0000074106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist