Provider Demographics
NPI:1770602443
Name:SHARP, LINDA K (BCHS-ACA)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:K
Last Name:SHARP
Suffix:
Gender:F
Credentials:BCHS-ACA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 CRESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CRESTLINE
Mailing Address - State:OH
Mailing Address - Zip Code:44827-9675
Mailing Address - Country:US
Mailing Address - Phone:419-683-1141
Mailing Address - Fax:419-683-1141
Practice Address - Street 1:1007 CRESTVIEW DR
Practice Address - Street 2:
Practice Address - City:CRESTLINE
Practice Address - State:OH
Practice Address - Zip Code:44827-9675
Practice Address - Country:US
Practice Address - Phone:419-683-1141
Practice Address - Fax:419-683-1141
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1328237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist