Provider Demographics
NPI:1790196236
Name:SEEKATZ, LINDA (ODE LISENSE)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:SEEKATZ
Suffix:
Gender:F
Credentials:ODE LISENSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3085 LISA LN
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-8064
Mailing Address - Country:US
Mailing Address - Phone:740-252-3038
Mailing Address - Fax:
Practice Address - Street 1:160 N 4TH ST
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-3518
Practice Address - Country:US
Practice Address - Phone:740-588-5559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH 1196921103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool