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Individual

BARBARA L FORDYCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
3722 WHIPPLE AVE NW, CANTON, OH 44718
(330) 492-2006
(330) 492-2161
Mailing address
PO BOX 80690, CANTON, OH 44708
(330) 833-5530
(330) 833-6085

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3642
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0613858
OH
Enumeration date
08/21/2006
Last updated
06/19/2012
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