Healthcare Provider Details

I. General information

NPI: 1174186332
Provider Name (Legal Business Name): EMILY PLANZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2019
Last Update Date: 09/19/2023
Certification Date: 09/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

843 N CLEVELAND MASSILLON RD
AKRON OH
44333-2184
US

IV. Provider business mailing address

843 N CLEVELAND MASSILLON RD
AKRON OH
44333-2184
US

V. Phone/Fax

Practice location:
  • Phone: 330-723-7977
  • Fax: 330-239-8599
Mailing address:
  • Phone: 330-723-7977
  • Fax: 330-239-8599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.1701799
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: