Provider Demographics
NPI:1124144506
Name:BEELER, LINDA LOUISE (PHD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:LOUISE
Last Name:BEELER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:LINDA
Other - Middle Name:L
Other - Last Name:BEELER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:P.O. BOX 232
Mailing Address - Street 2:731 E. STATE ST. SUITE A
Mailing Address - City:SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44460-0232
Mailing Address - Country:US
Mailing Address - Phone:330-402-3025
Mailing Address - Fax:330-337-7754
Practice Address - Street 1:731 E. STATE ST.
Practice Address - Street 2:SUITE A
Practice Address - City:SALEM
Practice Address - State:OH
Practice Address - Zip Code:44460-0232
Practice Address - Country:US
Practice Address - Phone:330-402-3025
Practice Address - Fax:330-337-7754
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6124103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical