Individual
TAYAMA A QASIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1932 PENN PL NE, CANTON, OH 44704-1936
(330) 775-4873
Mailing address
1932 PENN PL NE, CANTON, OH 44704-1936
(330) 775-4873
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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