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NPI Code Detail

MEDICARE: THE CENTER FOR INDIVIDUAL & FAMILY SERVICES, INC.

MEDICARE: THE CENTER FOR INDIVIDUAL & FAMILY SERVICES, INC.
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
1101YP2500XProfessional Counselor
2103T00000XPsychologist
3104100000XSocial Worker
4225100000XPhysical Therapist
5225X00000XOccupational Therapist
6235Z00000XSpeech-Language Pathologist
7231H00000XAudiologist

General Provider Information

NPI Number : 1356372593
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CENTER FOR INDIVIDUAL & FAMILY SERVICES, INC.
Provider Business Mailing Address
First Line : 741 SCHOLL RD
Second Line :
City : MANSFIELD
State : OH
Zip : 44907-1571
Country : US
Telephone Number : 419-756-1717
Fax Number : 419-774-5955
Provider Business Practice Location Address
First Line : 270 STERKEL BLVD
Second Line :
City : MANSFIELD
State : OH
Zip : 44907-1508
Country : US
Telephone Number : 419-756-1133
Fax Number : 419-756-6544
Authorized Official
Title or Position : PRESIENT & CEO
Name : LAURA MONTGOMERY
Credential :
Telephone Number : 419-774-6705
Provider Enumeration Date : 07/05/2006
Last Update Date : 04/27/2020

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Directions to “THE CENTER FOR INDIVIDUAL & FAMILY SERVICES, INC. ” Practice Location

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