Individual
BORIS KRASIMIROV TODOROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
500 BURLINGTON RD, SUITE 240, JACKSON, OH 45640-9360
(740) 286-5075
(740) 395-8411
Mailing address
400 SKOKIE BLVD, STE 245, NORTHBROOK, IL 60062-7932
(847) 686-0090
(847) 686-0090
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7256
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200820
—
OH
Enumeration date
02/25/2015
Last updated
06/29/2017
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