Individual
DIANE K MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6835 MORLEY RD, CONCORD TWP, OH 44077-5907
(440) 350-1932
(440) 357-1558
Mailing address
6835 MORLEY RD, CONCORD TWP, OH 44077-5907
(440) 350-1932
(440) 357-1558
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4763
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620004908
RAILROAD MEDICARE
OH
Enumeration date
02/13/2008
Last updated
11/15/2011
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