Provider Demographics
NPI:1215000344
Name:MCGRAW, LINDA K (PHD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:K
Last Name:MCGRAW
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7541 CREEKVIEW TRL
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-2130
Mailing Address - Country:US
Mailing Address - Phone:216-310-8001
Mailing Address - Fax:440-349-3081
Practice Address - Street 1:7541 CREEKVIEW TRL
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-2130
Practice Address - Country:US
Practice Address - Phone:216-310-8001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHP.3460103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2234326Medicaid
OH2234326Medicaid
OH680006370Medicare PIN