Individual
JORDAN FONDACARO WEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-5930
Mailing address
2932 MOGADORE RD, TALLMADGE, OH 44278-3506
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
APP-000747837
OH
103TC2200X
Clinical Child & Adolescent Psychologist
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Other
Enumeration date
08/22/2024
Last updated
09/23/2024
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