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Individual

MR. ROBERT DEVIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
4572 DRESSLER RD NW, CANTON, OH 44718-2546
(330) 493-4220
(330) 493-8850
Mailing address
4572 DRESSLER RD NW, CANTON, OH 44718-2546
(330) 493-4220
(330) 493-8850

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1651
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000130007
ANTHEM
OH
05
0358447
OH
01
457398000
MAGELLAN
OH
01
620000842
MEDICARE RAILROAD
OH
Enumeration date
12/08/2006
Last updated
07/08/2007
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