MEDICARE: LINDA JOY NINTCHEFF MA, ATR

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	221700000X	Art Therapist

General Provider Information

NPI Number	:	1851421689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA JOY NINTCHEFF MA, ATR

Provider Business Mailing Address
First Line	:	11651 THE BLF
Second Line	:
City	:	STRONGSVILLE
State	:	OH
Zip	:	44136-3509
Country	:	US
Telephone Number	:	440-238-9433
Fax Number	:

Provider Business Practice Location Address
First Line	:	12200 FAIRHILL RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-1058
Country	:	US
Telephone Number	:	216-791-9303
Fax Number	:	216-791-5610

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

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	07/08/2007

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