Doctor Name: | DR. MARIANNE KATZ WOHL |
NPI Number: | 1003963844 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 3112 |
Business Practice Address: | 3250 West Market Street Suite Number 11 Fairlawn, OH - 443333318 |
Business Phone Number: | 3308731151 |
Business Fax Number: | 3308731151 |
Mailing Address: | 3250 West Market Street, Suite Number 11 FAIRLAWN |
State: | OH |
Postal Code: | 443333318 |
Phone Number: | 3308731151 |
Fax Number: | 3308731151 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TM1800X |
License Number: | 3112 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Mental Retardation & Developmental Disabilities |
Taxonomy Definition: |