Individual
DR. KATHRYN SUSAN WURTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
900 MULL AVE, EMERGE MINISTRIES, AKRON, OH 44313-7502
(330) 867-5603
(330) 873-3439
Mailing address
900 MULL AVE, EMERGE MINISTRIES, AKRON, OH 44313-7502
(330) 867-5603
(330) 873-3439
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5280
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000025889
ANTHEM BCBS
OH
05
—
2047878
—
OH
01
—
216197
VALUE OPTIONS
OH
01
—
268409000
MAGELLAN BEHAVIORAL HEALT
OH
01
—
34-1213335-032
CARESOURCE
OH
01
—
341213335
CORPHEALTH
OH
01
—
341213335KW
SUMMACARE
OH
01
—
6183522
UBH & UNITED HEALTHCARE
OH
01
—
7560434
AETNA
OH
Enumeration date
01/05/2007
Last updated
10/04/2011
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