Healthcare Provider Details

I. General information

NPI: 1356272835
Provider Name (Legal Business Name): KARIN FISCHER-DONOVAN ED.S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W 130TH ST
BRUNSWICK OH
44212-2396
US

IV. Provider business mailing address

300 W 130TH ST
BRUNSWICK OH
44212-2396
US

V. Phone/Fax

Practice location:
  • Phone: 330-273-0482
  • Fax: 330-273-0446
Mailing address:
  • Phone: 330-273-0482
  • Fax: 330-273-0446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLSP.01322
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: