Healthcare Provider Details

I. General information

NPI: 1932015039
Provider Name (Legal Business Name): REBECCA DOLAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 N MAIN ST
AKRON OH
44308-1958
US

IV. Provider business mailing address

569 ATHENS AVE
WADSWORTH OH
44281-2195
US

V. Phone/Fax

Practice location:
  • Phone: 330-761-1735
  • Fax:
Mailing address:
  • Phone: 216-645-2192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLSP.00005
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: