Doctor Name: | MS. MARIJA COLIC-TURCINOV |
NPI Number: | 1134549843 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 10770 Cottage Hill Ln Chardon, OH - 440249762 |
Business Phone Number: | 2165447555 |
Business Fax Number: | 2165236309 |
Mailing Address: | 10770 Cottage Hill Ln, CHARDON |
State: | OH |
Postal Code: | 440249762 |
Phone Number: | 2165238498 |
Fax Number: | 2165236309 |
NPI Enumeration Date: | 04/21/2014 |
NPI Last Update Date: | 04/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |