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155 5th St Ne Ste Pg043 Barberton OH 44203-3332 | |
(330) 721-7604 | |
(330) 721-7606 |
Full Name | |
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Speciality | Psychologist - Clinical |
Location | 155 5th St Ne Ste Pg043, Barberton, Ohio |
Authorized Official Name and Position | Lydia Alexander-cook (PRESIDENT) |
Authorized Official Contact | 2343125873 |
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) 312-5873 | 155 5th St Ne Ste Pg043 Barberton OH 44203-3332 Ph: (330) 721-7604 |
NPI Number | 1003051061 |
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Provider Enumeration Date | 12/04/2008 |
Last Update Date | 09/28/2021 |
Certification Date | 09/28/2021 |
Identifier | Type | State | Issuer |
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1003051061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |