Individual
MS. JILL E BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6401 JAYCOX RD, NORTH RIDGEVILLE, OH 44039-1611
(440) 327-1800
(440) 327-1533
Mailing address
6401 JAYCOX RD, NORTH RIDGEVILLE, OH 44039-1611
(440) 327-1800
(440) 327-1533
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6570
OH
103TC0700X
Clinical Psychologist
Primary
6570
OH
Other
Enumeration date
05/02/2007
Last updated
07/27/2023
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