| Douglas R Princehorn Summit Therapy Center | |
|
4419 Cleveland Rd Wooster OH 44691-1233 | |
| (330) 345-8450 | |
| (330) 345-5899 |
| Full Name | Douglas R Princehorn Summit Therapy Center |
|---|---|
| Speciality | Social Worker |
| Location | 4419 Cleveland Rd, Wooster, Ohio |
| Authorized Official Name and Position | Chevelle Snyder (BILLING SPECIALIST) |
| Authorized Official Contact | 4194646907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas R Princehorn Summit Therapy Center 4419 Cleveland Rd Wooster OH 44691-1233 Ph: (330) 345-8450 | Douglas R Princehorn Summit Therapy Center 4419 Cleveland Rd Wooster OH 44691-1233 Ph: (330) 345-8450 |
| NPI Number | 1093856494 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Medicare PECOS PAC ID | 0840350765 |
|---|---|
| Medicare Enrollment ID | O20081124000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093856494 | NPI | - | NPPES |
| Provider Name | Douglas R Princehorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699941120 PECOS PAC ID: 7618158429 Enrollment ID: I20110228000538 |
| Provider Name | Leslie Feder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972790202 PECOS PAC ID: 7214157924 Enrollment ID: I20141001000524 |
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