| Psychiatric And Psychological Service | |
|
750 S Abbe Rd Elyria OH 44035-7246 | |
| (440) 323-5121 | |
| (440) 323-5134 |
| Full Name | Psychiatric And Psychological Service |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 750 S Abbe Rd, Elyria, Ohio |
| Authorized Official Name and Position | Diana Santantonio (CO-OWNER) |
| Authorized Official Contact | 4403235121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric And Psychological Service 750 S Abbe Rd Elyria OH 44035-7246 Ph: (440) 323-5121 | Psychiatric And Psychological Service 750 S Abbe Rd Elyria OH 44035-7246 Ph: (440) 323-5121 |
| NPI Number | 1811944333 |
|---|---|
| Provider Enumeration Date | 05/29/2006 |
| Last Update Date | 02/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811944333 | NPI | - | NPPES |
| 701291000 | Other | OH | MAGELLAN MIS NUMBER |
| 104917 | Other | OH | KAISER PIN |
| 000000157251 | Other | OH | ANTHEM BLUE CROSS PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 07116 (Ohio) | Primary |
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