Individual
DR. TANIA LODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, PCC-S
Contact information
Practice address
3618 W MARKET ST STE 15, FAIRLAWN, OH 44333-2425
(234) 466-0445
(234) 466-0359
Mailing address
3618 W MARKET ST STE 16, FAIRLAWN, OH 44333-2425
(234) 466-0445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E.0500437
OH
103TC0700X
Clinical Psychologist
Primary
P.08616
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214582
—
OH
Enumeration date
07/29/2008
Last updated
04/16/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us