Healthcare Provider Details

I. General information

NPI: 1922097120
Provider Name (Legal Business Name): AARON JACOB HAYDEN
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/19/2005
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 MONROE ST STE 103B
SYLVANIA OH
43560-2795
US

IV. Provider business mailing address

5600 MONROE ST STE 10
SYLVANIA OH
43560-2731
US

V. Phone/Fax

Practice location:
  • Phone: 419-885-5952
  • Fax: 419-885-7630
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI0008995
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: