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NPI Code Detail

MEDICARE: MS. ROCHELLE L WYSINGER P.C.C.

MEDICARE: MS. ROCHELLE L WYSINGER P.C.C.
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
1101Y00000XCounselorE.0700251OH

General Provider Information

NPI Number : 1336490994
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROCHELLE L WYSINGER P.C.C.
Provider Business Mailing Address
First Line : 2737 YOUNGSTOWN RD SE
Second Line :
City : WARREN
State : OH
Zip : 44484-5002
Country : US
Telephone Number : 330-369-8022
Fax Number :
Provider Business Practice Location Address
First Line : 2737 YOUNGSTOWN RD SE
Second Line :
City : WARREN
State : OH
Zip : 44484-5002
Country : US
Telephone Number : 330-369-8022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2012
Last Update Date : 06/29/2018

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