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NPI Code Detail

MEDICARE: TOUCHSTONE THERAPEUTIC SERVICES, LLC

MEDICARE: TOUCHSTONE THERAPEUTIC SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician35079729OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043360241
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOUCHSTONE THERAPEUTIC SERVICES, LLC
Provider Business Mailing Address
First Line : 4726 MAIN AVE
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-6929
Country : US
Telephone Number : 440-992-9429
Fax Number : 440-992-6631
Provider Business Practice Location Address
First Line : 4726 MAIN AVE
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-6929
Country : US
Telephone Number : 440-992-9429
Fax Number : 440-992-6631
Authorized Official
Title or Position : CEO
Name : DR. KHOA DINH TRAN
Credential : MD
Telephone Number : 440-992-9429
Provider Enumeration Date : 01/11/2007
Last Update Date : 07/29/2014

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Directions to “TOUCHSTONE THERAPEUTIC SERVICES, LLC ” Practice Location

Language Start Address Practice Location
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