Healthcare Provider Details

I. General information

NPI: 1649185208
Provider Name (Legal Business Name): HANNAH R FENDER CT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 SOUTH AVE
TALLMADGE OH
44278-2802
US

IV. Provider business mailing address

32 SOUTH AVE
TALLMADGE OH
44278-2802
US

V. Phone/Fax

Practice location:
  • Phone: 330-630-5600
  • Fax: 330-630-5810
Mailing address:
  • Phone: 330-630-5600
  • Fax: 330-630-5810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2608081-TRNE
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: