Doctor Name: | DONNA K DUBOW |
NPI Number: | 1023053444 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, PCC |
License Number: | E4354 |
Business Practice Address: | 330 Louisiana Ave Suite A Perrysburg, OH - 435511400 |
Business Phone Number: | 4198749488 |
Business Fax Number: | 4198744822 |
Mailing Address: | 4148 Stonehenge Dr, SYLVANIA |
State: | OH |
Postal Code: | 435603425 |
Phone Number: | 4192662079 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E4354 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |