Organization
VISTA PSYCHOLOGICAL & COUNSELING CENTRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A HUMPHRIES PHD (PSYCHOLOGIST)
(330) 244-8782
Entity
Organization
Contact information
Practice address
1201 SOUTH MAIN ST, SUITE 100, NORTH CANTON, OH 44720
(330) 244-8782
(330) 244-8795
Mailing address
1201 SOUTH MAIN ST, SUITE 100, NORTH CANTON, OH 44720
(330) 244-8782
(330) 244-8795
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
04/18/2008
Last updated
07/17/2014
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