Dr Tania Lodge, PHD, PCC-S is a
Psychologist - Clinical based in Fairlawn, Ohio. Dr Tania Lodge is licensed to practice in Ohio (license number P.08616) and her current practice location is
3618 W Market St Ste 15, Fairlawn, Ohio. She can be reached at her office (for appointments etc.) via phone at
(234) 466-0445.
NPI number for Dr Tania Lodge is 1437315520 and her current mailing address is 3618 W Market St Ste 16, Fairlawn, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437315520.
Healthcare Provider's Profile
Full Name | Dr Tania Lodge |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 3618 W Market St Ste 15, Fairlawn, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437315520
- Provider Enumeration Date: 07/29/2008
- Last Update Date: 04/16/2024
Medical Identifiers
Medical identifiers for Dr Tania Lodge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437315520 | NPI | - | NPPES |
0214582 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | E.0500437 (Ohio) | Secondary |
103TC0700X | Psychologist - Clinical | P.08616 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tania Lodge is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Tania Lodge, PHD, PCC-S 3618 W Market St Ste 16, Fairlawn, OH 44333-2425 Ph: (234) 466-0445 | Dr Tania Lodge, PHD, PCC-S 3618 W Market St Ste 15, Fairlawn, OH 44333-2425 Ph: (234) 466-0445 |
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