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NPI Code Detail

MEDICARE: LINDSAY WERNER PH.D

MEDICARE: LINDSAY WERNER 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
1103TS0200XSchool PsychologistOH1352028OH

General Provider Information

NPI Number : 1629469218
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY WERNER PH.D
Provider Business Mailing Address
First Line : 1900 CROSSHAVEN RD NW
Second Line :
City : CANTON
State : OH
Zip : 44708-2006
Country : US
Telephone Number : 614-602-7651
Fax Number :
Provider Business Practice Location Address
First Line : 65 STEINER AVE
Second Line :
City : AKRON
State : OH
Zip : 44301-1347
Country : US
Telephone Number : 330-761-3065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2015
Last Update Date : 02/18/2015

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