MEDICARE: BARBARA FORDYCE & ASSOCIATES, 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
1	103TC1900X	Counseling Psychologist

General Provider Information

NPI Number	:	1366837189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARBARA FORDYCE & ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	4319 HILLS AND DALES RD NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44708-1663
Country	:	US
Telephone Number	:	330-492-2006
Fax Number	:	330-492-2161

Provider Business Practice Location Address
First Line	:	4319 HILLS AND DALES RD NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44708-1663
Country	:	US
Telephone Number	:	330-492-2006
Fax Number	:	330-492-2161

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SARA NICOLE SAYRE
Credential	:	PHD
Telephone Number	:	330-492-2006

Provider Enumeration Date	:	03/30/2015
Last Update Date	:	10/28/2025

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