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NPI Code Detail

MEDICARE: KAREN T CIMINI PH.D., PSYCHOLOGIST

MEDICARE: KAREN T CIMINI PH.D., PSYCHOLOGIST
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
1103TC1900XCounseling Psychologist4743OH

General Provider Information

NPI Number : 1699774968
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN T CIMINI PH.D., PSYCHOLOGIST
Provider Business Mailing Address
First Line : 3469 FORTUNA DR
Second Line :
City : AKRON
State : OH
Zip : 44312-5281
Country : US
Telephone Number : 330-644-3469
Fax Number : 330-644-8519
Provider Business Practice Location Address
First Line : 3469 FORTUNA DR
Second Line :
City : AKRON
State : OH
Zip : 44312-5281
Country : US
Telephone Number : 330-644-3469
Fax Number : 330-644-8519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 07/08/2007

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