| Copley Counseling Centre Inc | |
|
908 Sahara Trl Suite 2 Poland OH 44514-3667 | |
| (330) 726-2965 | |
| (330) 726-0449 |
| Full Name | Copley Counseling Centre Inc |
|---|---|
| Speciality | Psychologist |
| Location | 908 Sahara Trl, Poland, Ohio |
| Authorized Official Name and Position | Lynn Dimarzio (DR.) |
| Authorized Official Contact | 3307262965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Copley Counseling Centre Inc 831 Southwestern Run Ste 2 Poland OH 44514-3694 Ph: (330) 726-2965 | Copley Counseling Centre Inc 908 Sahara Trl Suite 2 Poland OH 44514-3667 Ph: (330) 726-2965 |
| NPI Number | 1215116264 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Medicare PECOS PAC ID | 6305992389 |
|---|---|
| Medicare Enrollment ID | O20090916000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215116264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Susan K Yoder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104844190 PECOS PAC ID: 4183681661 Enrollment ID: I20060816000463 |
| Provider Name | Lynn R Dimarzio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417961459 PECOS PAC ID: 7517961907 Enrollment ID: I20060825000270 |
| Provider Name | Gerard W Cerimele |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295920304 PECOS PAC ID: 7214250711 Enrollment ID: I20150107001860 |
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