Healthcare Provider Details

I. General information

NPI: 1912383241
Provider Name (Legal Business Name): BARBARA KUHLINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2015
Last Update Date: 08/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 17TH ST NE
MASSILLON OH
44646-4853
US

IV. Provider business mailing address

1800 JOHN CARROLL DR SE
MASSILLON OH
44646-7458
US

V. Phone/Fax

Practice location:
  • Phone: 330-830-3902
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberOH1249731
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: