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47 N Main St Fl 3 Akron OH 44308-1971 | |
| (330) 379-5094 | |
| (330) 379-5095 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 47 N Main St Fl 3, Akron, Ohio |
| Authorized Official Name and Position | Gina Rood (SR IT SYSTEMS ANALYST) |
| Authorized Official Contact | 2343125193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1077 Gorge Blvd Akron OH 44310-2408 Ph: (234) 312-5691 | 47 N Main St Fl 3 Akron OH 44308-1971 Ph: (330) 379-5094 |
| NPI Number | 1700195815 |
|---|---|
| Provider Enumeration Date | 10/07/2010 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700195815 | NPI | - | NPPES |
| 3103233 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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