Organization
PSYCHOLOGICAL COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN J DAVIS PH.D. (PRESIDENT)
(330) 815-0436
Entity
Organization
Contact information
Practice address
3618 W MARKET ST, FAIRLAWN, OH 44333-2425
(330) 815-0436
Mailing address
3618 W MARKET ST, FAIRLAWN, OH 44333-2425
(330) 815-0436
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
852
OH
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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