Diane K Mahoney Phd | |
6835 Morley Rd Concord OH 44077 | |
(440) 350-1932 | |
(440) 357-1558 |
Full Name | Diane K Mahoney Phd |
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Speciality | Psychologist |
Location | 6835 Morley Rd, Concord, Ohio |
Authorized Official Name and Position | Diane K Mahoney (CLINICAL DIRECTOR) |
Authorized Official Contact | 4403501558 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Diane K Mahoney Phd 6835 Morley Rd Concord OH 44077 Ph: (440) 350-1932 | Diane K Mahoney Phd 6835 Morley Rd Concord OH 44077 Ph: (440) 350-1932 |
NPI Number | 1902945694 |
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Provider Enumeration Date | 02/06/2007 |
Last Update Date | 11/15/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902945694 | NPI | - | NPPES |
620004908 | Other | OH | RAILROAD MEDICARE |
0205683 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |