Provider Demographics
NPI:1366467821
Name:ROVITO, LINDA LAUREEN (PCC)
Entity Type:Individual
Prefix:MR
First Name:LINDA
Middle Name:LAUREEN
Last Name:ROVITO
Suffix:
Gender:F
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 BELLEMONTE ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45042-3549
Mailing Address - Country:US
Mailing Address - Phone:513-705-9406
Mailing Address - Fax:
Practice Address - Street 1:218 BELLEMONTE ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45042-3549
Practice Address - Country:US
Practice Address - Phone:513-705-9406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE 4262 SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional