| Doctor Name: | DR. DAVID KOTARSKY |
| NPI Number: | 1003110230 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D |
| License Number: | 6726 |
| Business Practice Address: | 3201 Belmont St Ste 716 Bellaire, OH - 439061547 |
| Business Phone Number: | 7403251199 |
| Business Fax Number: | 8557372544 |
| Mailing Address: | 3201 Belmont St Ste 716, BELLAIRE |
| State: | OH |
| Postal Code: | 439061547 |
| Phone Number: | 7403251199 |
| Fax Number: | 8557372544 |
| NPI Enumeration Date: | 01/03/2011 |
| NPI Last Update Date: | 02/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6726 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |