| Deborah L Sano Phd Llc | |
|
7010 South Ave Ste 5 Boardman OH 44512-3603 | |
| (330) 953-0373 | |
| (330) 953-1373 |
| Full Name | Deborah L Sano Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7010 South Ave Ste 5, Boardman, Ohio |
| Authorized Official Name and Position | Deborah Louise Sano (PSYCHOLOGIST) |
| Authorized Official Contact | 3305069610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah L Sano Phd Llc Po Box 114 Canfield OH 44406-0114 Ph: (330) 506-9610 | Deborah L Sano Phd Llc 7010 South Ave Ste 5 Boardman OH 44512-3603 Ph: (330) 953-0373 |
| NPI Number | 1164430864 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 07/07/2010 |
| Medicare PECOS PAC ID | 7618973199 |
|---|---|
| Medicare Enrollment ID | O20100707000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164430864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301011855 (Michigan) | Primary |
| Provider Name | Deborah Louise Sano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407876816 PECOS PAC ID: 6507862083 Enrollment ID: I20100708000687 |
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