Provider Demographics
NPI:1720150345
Name:MUHAMMAD-SMITH, LINDA (LSW, LCDCIII)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:MUHAMMAD-SMITH
Suffix:
Gender:F
Credentials:LSW, LCDCIII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6591 BASSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44146-4808
Mailing Address - Country:US
Mailing Address - Phone:440-439-9168
Mailing Address - Fax:440-439-9177
Practice Address - Street 1:6591 BASSWOOD DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44146-4808
Practice Address - Country:US
Practice Address - Phone:440-439-9168
Practice Address - Fax:440-439-9177
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH041003225C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor