Healthcare Provider Details

I. General information

NPI: 1609034974
Provider Name (Legal Business Name): BING & ASSOCIATES PSYCHOLOGICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2008
Last Update Date: 08/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2108 BRAEWICK CIRCLE SUITE 202
AKRON OH
44313
US

IV. Provider business mailing address

2108 BRAEWICK CIRCLE SUITE 202
AKRON OH
44313
US

V. Phone/Fax

Practice location:
  • Phone: 330-920-9292
  • Fax: 330-920-9393
Mailing address:
  • Phone: 330-920-9292
  • Fax: 330-920-9393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number5773
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5773
License Number StateOH

VIII. Authorized Official

Name: ELIZABETH H BING
Title or Position: CLINICAL DIRECTOR
Credential: PHD
Phone: 330-808-3072