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NPI Code Detail

MEDICARE: MRS. BRENDA BARNES TOUSLEY MS

MEDICARE: MRS. BRENDA BARNES TOUSLEY MS
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
1103TS0200XSchool PsychologistSP309OH

General Provider Information

NPI Number : 1598770257
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRENDA BARNES TOUSLEY MS
Provider Business Mailing Address
First Line : 357 WYOGA LAKE BLVD
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44224-1140
Country : US
Telephone Number : 330-678-2400
Fax Number : 330-673-3714
Provider Business Practice Location Address
First Line : 2500 BRADY LAKE RD
Second Line :
City : RAVENNA
State : OH
Zip : 44266-1610
Country : US
Telephone Number : 330-678-2400
Fax Number : 330-673-3714
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. BRENDA BARNES TOUSLEY MS” Practice Location

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