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45 Arch St Ste 600 Akron OH 44304-1403 | |
| (330) 379-8190 | |
| (330) 379-8191 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 45 Arch St Ste 600, 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 | 45 Arch St Ste 600 Akron OH 44304-1403 Ph: (330) 379-8190 |
| NPI Number | 1720276298 |
|---|---|
| Provider Enumeration Date | 10/10/2007 |
| Last Update Date | 12/15/2022 |
| Certification Date | 12/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720276298 | NPI | - | NPPES |
| 2778310 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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