MEDICARE: DR. SHARLA NICHOLS FASKO PHD

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	103TS0200X	School Psychologist	P.07826	OH

General Provider Information

NPI Number	:	1275145708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARLA NICHOLS FASKO PHD

Provider Business Mailing Address
First Line	:	7238 PILLIOD RD
Second Line	:
City	:	HOLLAND
State	:	OH
Zip	:	43528-9572
Country	:	US
Telephone Number	:	419-340-7815
Fax Number	:

Provider Business Practice Location Address
First Line	:	7238 PILLIOD RD
Second Line	:
City	:	HOLLAND
State	:	OH
Zip	:	43528-9572
Country	:	US
Telephone Number	:	419-340-7815
Fax Number	:

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

Provider Enumeration Date	:	08/17/2020
Last Update Date	:	08/17/2020

Similar Medicare Providers

1568673358 — FRIENDSHIP COMMUNITY
Practice Location Address:

1144 SHEEP HILL RD
NEW HOLLAND, PA
17557-9572

Practice Phone: 717-656-2466
Practice Fax: 717-646-0459

1437718079 — PATRICE WHETSEL
Practice Location Address:

7318 INTERNATIONAL DR
HOLLAND, OH
43528-9560

Practice Phone: 419-318-1496
Practice Fax: 567-249-0043

1255280699 — LAKEETA YOUNG
Practice Location Address:

6101 TRUST DR APT 1222
HOLLAND, OH
43528-9588

Practice Phone: 567-900-2953
Practice Fax:

1235844796 — OSAMA FRANCIS FNP
Practice Location Address:

6855 SPRING VALLEY DR STE 160
HOLLAND, OH
43528-8039

Practice Phone: 419-865-3111
Practice Fax: 419-866-1390

1649894262 — WORKIT HEALTH (OH) LLC
Practice Location Address:

6855 SPRING VALLEY DR STE 110
HOLLAND, OH
43528-9374

Practice Phone: 216-438-0283
Practice Fax: 855-716-4494

1245199256 — FOUR HEIRS HOLDINGS LLC
Practice Location Address:

1007SMCCORD , #1-8
HOLLAND, OH
43528

Practice Phone: 567-742-7330
Practice Fax:

Directions to “ DR. SHARLA NICHOLS FASKO PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.