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Individual

JOSEPH R WASDOVICH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
72 EVERETT AVE, AKRON, OH 44302-1040
(216) 433-2989
Mailing address
72 EVERETT AVE, AKRON, OH 44302-1040
(216) 433-2989

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5149
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2331793
OH
Enumeration date
06/01/2006
Last updated
07/08/2007
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