Provider Demographics
NPI:1598952756
Name:DEN HEIJER, LINDA JUNE (LISW-S)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:JUNE
Last Name:DEN HEIJER
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:JUNE
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:2803 AKRON RD
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-7904
Mailing Address - Country:US
Mailing Address - Phone:330-264-3232
Mailing Address - Fax:330-202-3878
Practice Address - Street 1:94 N SANDUSKY ST
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1775
Practice Address - Country:US
Practice Address - Phone:740-363-7234
Practice Address - Fax:740-369-5931
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS06003531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical