Healthcare Provider Details

I. General information

NPI: 1609041250
Provider Name (Legal Business Name): BARBARA J OZIMEK M.A, P.C.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2008
Last Update Date: 10/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E MARKET ST
WARREN OH
44481-1141
US

IV. Provider business mailing address

150 E MARKET ST
WARREN OH
44481-1141
US

V. Phone/Fax

Practice location:
  • Phone: 330-399-6451
  • Fax: 330-394-6266
Mailing address:
  • Phone: 330-399-6451
  • Fax: 330-394-6266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE0600524
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: