Individual
MS. DIANA SUSAN SANTANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
750 S ABBE RD, ELYRIA, OH 44035-7246
(440) 323-5121
(440) 323-5134
Mailing address
11209 ARROWHEAD DR, GRAFTON, OH 44044-9774
(440) 323-5121
(440) 323-5134
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2126
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0824657
—
OH
Enumeration date
06/21/2006
Last updated
05/12/2021
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