Individual
HEATHER K POMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
945 WINDHAM CT, SUITE 2, BOARDMAN, OH 44512-5034
(330) 953-1354
(330) 953-1364
Mailing address
945 WINDHAM CT, SUITE 2, BOARDMAN, OH 44512-5034
(330) 953-1354
(330) 953-1364
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS017649
PA
103TC0700X
Clinical Psychologist
Primary
7091
OH
106H00000X
Marriage & Family Therapist
F. 1400018
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112662
—
OH
05
—
2314561
—
OH
01
—
H228281
PTAN
OH
Enumeration date
07/31/2013
Last updated
03/31/2015
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