Doctor Name: | ED VOLLMAR |
NPI Number: | 1518175090 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPCC |
License Number: | |
Business Practice Address: | 323 N Wood St Fostoria, OH - 448302247 |
Business Phone Number: | 4194351775 |
Business Fax Number: | 4196635070 |
Mailing Address: | 1933 Spielbusch Ave, TOLEDO |
State: | OH |
Postal Code: | 436241360 |
Phone Number: | 4192446711 |
Fax Number: | 4192444860 |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |