MEDICARE: ALLISON E SKOTSCHIR

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	104100000X	Social Worker	S.2411304	OH

General Provider Information

NPI Number	:	1801620935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON E SKOTSCHIR

Provider Business Mailing Address
First Line	:	7707 PEACHMONT AVE NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-5779
Country	:	US
Telephone Number	:	330-907-3071
Fax Number	:

Provider Business Practice Location Address
First Line	:	7707 PEACHMONT AVE NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-5779
Country	:	US
Telephone Number	:	330-907-3071
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2024
Last Update Date	:	08/30/2024

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Directions to “ ALLISON E SKOTSCHIR ” Practice Location

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