| Robin L Formick, E0004226 | |
|
520 N Chestnut St, Ravenna, OH 44266-2218 | |
| (330) 296-5552 | |
| Not Available |
| Full Name | Robin L Formick |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 520 N Chestnut St, Ravenna, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104044585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | E0004226 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Robin L Formick, E0004226 4070 Sabin Dr, Rootstown, OH 44272-9617 Ph: (330) 325-0545 | Robin L Formick, E0004226 520 N Chestnut St, Ravenna, OH 44266-2218 Ph: (330) 296-5552 |
Nancy Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 | |
Kelly Szydlowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 | |
Roberta Christofaris, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 Fax: 330-296-6126 | |
Susaye S. Rattigan, INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 Fax: 330-296-6126 | |
Kandi J Portz-novak, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 Fax: 330-296-6126 | |
Tiffany Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 Fax: 330-296-6126 | |
Jason Sheller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3920 Lovers Ln, Ravenna, OH 44266 Phone: 330-673-1347 |