Healthcare Provider Details

I. General information

NPI: 1053768143
Provider Name (Legal Business Name): DONALD STRANATHAN LSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2016
Last Update Date: 05/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 PENFIELD AVE
AKRON OH
44310-2912
US

IV. Provider business mailing address

340 S BROADWAY ST
AKRON OH
44308-1529
US

V. Phone/Fax

Practice location:
  • Phone: 330-762-6110
  • Fax: 330-253-6810
Mailing address:
  • Phone: 330-253-3100
  • Fax: 330-376-8002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.0022688
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: