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NPI Code Detail

MEDICARE: DR. PAULA E HARTMAN-STEIN PH.D.

MEDICARE:  DR. PAULA E HARTMAN-STEIN  PH.D.
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
1103TA0700XAdult Development & Aging Psychologist3297OH
2103TC0700XClinical Psychologist3297OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1341438143OTHEROHTAX ID

General Provider Information

NPI Number : 1760479612
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAULA E HARTMAN-STEIN PH.D.
Provider Business Mailing Address
First Line : 265 W MAIN ST
Second Line : SUITE 102
City : KENT
State : OH
Zip : 44240-2461
Country : US
Telephone Number : 330-678-9210
Fax Number : 330-676-1199
Provider Business Practice Location Address
First Line : 265 W MAIN ST
Second Line : SUITE 102
City : KENT
State : OH
Zip : 44240-2461
Country : US
Telephone Number : 330-678-9210
Fax Number : 330-676-1199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2005
Last Update Date : 02/03/2011

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Directions to “ DR. PAULA E HARTMAN-STEIN PH.D.” Practice Location

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