Doctor Name: | EDWARD E DICKERHOOF |
NPI Number: | 1215253109 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.C.C. - S |
License Number: | E. 0500701 SUPV |
Business Practice Address: | 4572 Dressler Rd Nw Canton, OH - 447182546 |
Business Phone Number: | 3304934220 |
Business Fax Number: | |
Mailing Address: | 4572 Dressler Rd Nw, CANTON |
State: | OH |
Postal Code: | 447182546 |
Phone Number: | 3304934220 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2010 |
NPI Last Update Date: | 07/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | E. 0500701 SUPV |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |