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155 5th St Ne Ste 104 Barberton OH 44203-3332 | |
(330) 615-3900 | |
(330) 615-3909 |
Full Name | |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 155 5th St Ne Ste 104, Barberton, Ohio |
Authorized Official Name and Position | Wendy Carson (MANAGER, PAYER ENROLLMENT) |
Authorized Official Contact | 2343125691 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1077 Gorge Blvd Akron OH 44310-2408 Ph: (234) 312-5691 | 155 5th St Ne Ste 104 Barberton OH 44203-3332 Ph: (330) 615-3900 |
NPI Number | 1548289788 |
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Provider Enumeration Date | 07/19/2006 |
Last Update Date | 10/11/2024 |
Certification Date | 10/11/2024 |
Identifier | Type | State | Issuer |
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1548289788 | NPI | - | NPPES |
2778338 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |