Organization
PATRICIA MASKOW FIREM, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MASKOW FIREM PH.D. (OWNER)
(440) 285-8746
Entity
Organization
Contact information
Practice address
401 SOUTH ST, 2B, CHARDON, OH 44024-2805
(440) 285-8746
(440) 285-8746
Mailing address
401 SOUTH ST, 2B, CHARDON, OH 44024-2805
(440) 285-8746
(440) 285-8746
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5127
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2181722
—
OH
Enumeration date
08/22/2012
Last updated
08/22/2012
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