Healthcare Provider Details

I. General information

NPI: 1497666895
Provider Name (Legal Business Name): MADELEINE MCKINNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MADDIE MCKINNEY

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 N MAIN ST
AKRON OH
44308-1958
US

IV. Provider business mailing address

549 SOUTHEAST AVE
TALLMADGE OH
44278-2851
US

V. Phone/Fax

Practice location:
  • Phone: 330-761-1661
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: