Doctor Name: | ANNELYSE DEBELLIS |
NPI Number: | 1053560359 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, PC |
License Number: | C-0602083 |
Business Practice Address: | 1469 S Main St North Canton, OH - 447204245 |
Business Phone Number: | 3304993065 |
Business Fax Number: | 3304992497 |
Mailing Address: | 1469 S Main St, NORTH CANTON |
State: | OH |
Postal Code: | 447204245 |
Phone Number: | 3304993065 |
Fax Number: | 3304992497 |
NPI Enumeration Date: | 09/11/2008 |
NPI Last Update Date: | 09/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | C-0602083 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |