Individual
DR. MATT FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, M.ED
Contact information
Practice address
37 N BROADWAY ST, AKRON, OH 44308-1910
(330) 535-8181
Mailing address
37 N BROADWAY ST, AKRON, OH 44308-1910
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
08238
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2019
Last updated
02/21/2023
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