Individual
OLIVIA SUMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
68 W CHURCH ST STE 318, NEWARK, OH 43055-5050
(505) 699-8962
Mailing address
3304 JAMES ST, SANTA FE, NM 87507-5019
(505) 699-8962
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
P.08638
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/14/2020
Last updated
06/17/2024
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