Organization
PSYCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA S REEDER (OFFICE MGR)
(330) 385-1000
Entity
Organization
Contact information
Practice address
15549 STATE ROUTE 170, SUITE 10, EAST LIVERPOOL, OH 43920-9216
(330) 385-1000
(330) 385-3588
Mailing address
15549 STAR RT 170, SUITE 10, EAST LIVERPOOL, OH 43920-9216
(330) 385-1000
(330) 385-3588
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1730
OH
103T00000X
Psychologist
Primary
1730
OH
103TP0016X
Prescribing (Medical) Psychologist
—
—
104100000X
Social Worker
C0004537
OH
106H00000X
Marriage & Family Therapist
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
RX04144
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RX04144
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2648102
—
OH
Enumeration date
04/15/2008
Last updated
04/15/2008
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