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Organization
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES
Active
Organization
HATTIE LARLHAM CENTER FOR CHILDREN WITH DISABLILITES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG SNYDER (CFO)
(330) 840-6851
Entity
Organization
Contact information
Practice address
9772 DIAGONAL ROAD, MANTUA, OH 44255
(330) 274-2272
(330) 732-2467
Mailing address
9772 DIAGONAL RD, MANTUA, OH 44255-9128
(330) 274-2272
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/08/2009
Last updated
01/31/2020
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