MEDICARE: LUIGINA DINARDO-ROSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TS0200X	School Psychologist	OH1229240	OH

General Provider Information

NPI Number	:	1164821625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUIGINA DINARDO-ROSE

Provider Business Mailing Address
First Line	:	3875 WASHINGTON PARK BLVD
Second Line	:
City	:	NEWBURGH HEIGHTS
State	:	OH
Zip	:	44105-3178
Country	:	US
Telephone Number	:	216-482-2670
Fax Number	:

Provider Business Practice Location Address
First Line	:	3875 WASHINGTON PARK BLVD
Second Line	:
City	:	NEWBURGH HEIGHTS
State	:	OH
Zip	:	44105-3178
Country	:	US
Telephone Number	:	216-482-2670
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2014
Last Update Date	:	08/20/2014

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Directions to “ LUIGINA DINARDO-ROSE ” Practice Location

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