| Patricia Maskow Firem, Ph.d., Llc | |
|
401 South St 2b Chardon OH 44024-2805 | |
| (440) 285-8746 | |
| (440) 285-8746 |
| Full Name | Patricia Maskow Firem, Ph.d., Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 401 South St, Chardon, Ohio |
| Authorized Official Name and Position | Patricia Maskow Firem (OWNER) |
| Authorized Official Contact | 4402858746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Maskow Firem, Ph.d., Llc 401 South St 2b Chardon OH 44024-2805 Ph: (440) 285-8746 | Patricia Maskow Firem, Ph.d., Llc 401 South St 2b Chardon OH 44024-2805 Ph: (440) 285-8746 |
| NPI Number | 1013265024 |
|---|---|
| Provider Enumeration Date | 08/22/2012 |
| Last Update Date | 08/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013265024 | NPI | - | NPPES |
| 2181722 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5127 (Ohio) | Primary |
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