Healthcare Provider Details

I. General information

NPI: 1982842126
Provider Name (Legal Business Name): STREESBORO CITY SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2009
Last Update Date: 01/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 KIRBY LANE
STREETSBORO OH
44241
US

IV. Provider business mailing address

9000 KIRBY LANE
STREETSBORO OH
44241
US

V. Phone/Fax

Practice location:
  • Phone: 330-626-4900
  • Fax: 330-626-8102
Mailing address:
  • Phone: 330-626-4900
  • Fax: 330-626-8102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD FRANCIS VRABLE
Title or Position: DIRECTOR OF SPECIAL SERVICES
Credential:
Phone: 330-626-4900