Individual
DR. MARC ROBERT PAGANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
11528 ROYALTON RD, SUITE 101, NORTH ROYALTON, OH 44133-4469
(440) 582-3310
(440) 582-3310
Mailing address
11528 ROYALTON RD, SUITE 101, NORTH ROYALTON, OH 44133-4469
(440) 582-3310
(440) 582-3310
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3320
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0674453
—
OH
01
—
160013
VALUE OPTIONS
OH
01
—
341485124
MEDICAL MUTUAL OF OHIO
OH
Enumeration date
05/21/2007
Last updated
04/12/2011
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