Healthcare Provider Details

I. General information

NPI: 1902924442
Provider Name (Legal Business Name): JANE BIEHL PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4347 PORTAGE ST NW SUITE 103
NORTH CANTON OH
44720-7371
US

IV. Provider business mailing address

2795 FRONT ST SUITE A
CUYAHOGA FALLS OH
44221-1900
US

V. Phone/Fax

Practice location:
  • Phone: 330-494-5155
  • Fax: 330-494-6868
Mailing address:
  • Phone: 330-945-7100
  • Fax: 330-945-4305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC0008239
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: