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Organization
PATHWAY PRACTICE, INC.
Active
Organization
PATHWAY PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH J GAVIN PH.D. (CEO)
(330) 343-6631
Entity
Organization
Contact information
Practice address
201 HOSPITAL DR, DOVER, OH 44622-2058
(330) 343-6631
(330) 343-8188
Mailing address
PO BOX 7, DOVER, OH 44622-0007
(330) 343-6631
(330) 343-8188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C0007674
OH
101YM0800X
Mental Health Counselor
E0001959SUPV
OH
103T00000X
Psychologist
1957
OH
104100000X
Social Worker
S0017766
OH
Other
Enumeration date
02/27/2009
Last updated
02/27/2009
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