| Doctor Name: | MR. JOHN RENO |
| NPI Number: | 1205253036 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | CL1003581 |
| Business Practice Address: | 2112 Case Pkwy Ste 10 Twinsburg, OH - 440872378 |
| Business Phone Number: | 8008414774 |
| Business Fax Number: | |
| Mailing Address: | 2112 Case Pkwy Ste 10, TWINSBURG |
| State: | OH |
| Postal Code: | 440872378 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/18/2014 |
| NPI Last Update Date: | 03/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | CL1003581 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |