Provider Demographics
NPI:1104181593
Name:HITER, LINDA LUANN (MASTERS EDUCATION)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:LUANN
Last Name:HITER
Suffix:
Gender:F
Credentials:MASTERS EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 THORNEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29212-8528
Mailing Address - Country:US
Mailing Address - Phone:803-608-4288
Mailing Address - Fax:
Practice Address - Street 1:504 THORNEWOOD CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212-8528
Practice Address - Country:US
Practice Address - Phone:803-608-4288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-11
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst