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NPI Code Detail

MEDICARE: ALLISON R MYSLIWIEC CT

MEDICARE: ALLISON R MYSLIWIEC CT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorC.2507238-TRNEOH

General Provider Information

NPI Number : 1194688614
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON R MYSLIWIEC CT
Provider Business Mailing Address
First Line : 12677 TALL TIMBER CIR
Second Line :
City : NORTH ROYALTON
State : OH
Zip : 44133-3711
Country : US
Telephone Number : 216-562-7214
Fax Number :
Provider Business Practice Location Address
First Line : 12677 TALL TIMBER CIR
Second Line :
City : NORTH ROYALTON
State : OH
Zip : 44133-3711
Country : US
Telephone Number : 216-562-7214
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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