Individual
DR. ELVIN B COBLENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5130 TR 359, BERLIN, OH 44610
(330) 893-2100
(330) 893-2100
Mailing address
PO BOX 158, BERLIN, OH 44610-0158
(330) 893-2100
(330) 893-3732
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
4532
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0903786
—
OH
Enumeration date
10/18/2006
Last updated
07/09/2007
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