Individual
KAYLENE IRIZARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
819 SOUTHWESTERN RUN # 2, POLAND, OH 44514-3688
(330) 953-1354
(330) 953-1364
Mailing address
PO BOX 5545, POLAND, OH 44514-0545
(330) 953-1354
(330) 953-1364
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37AC00371900
—
101YM0800X
Mental Health Counselor
C.2103689
OH
103T00000X
Psychologist
Primary
P.08428
OH
Other
Enumeration date
10/15/2018
Last updated
01/15/2023
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