MEDICARE: DR. DAVID ARONSON PH.D.

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
1	103TC0700X	Clinical Psychologist	3052	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	CP00651	OTHER		MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	300164227-00	OTHER	OH	BWC PROVIDER ID

General Provider Information

NPI Number	:	1104814110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ARONSON PH.D.

Provider Business Mailing Address
First Line	:	3241 OAKWOOD DR
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-1460
Country	:	US
Telephone Number	:	330-929-7067
Fax Number	:	330-929-7280

Provider Business Practice Location Address
First Line	:	3241 OAKWOOD DR
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44221-1460
Country	:	US
Telephone Number	:	330-929-7067
Fax Number	:	330-929-7280

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	03/18/2015

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Directions to “ DR. DAVID ARONSON PH.D.” Practice Location

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