Organization
KALEIDOSCOPE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROCK M. REIMAN PHD (PRESIDENT & PSYCHOLOGIST)
(330) 456-9214
Entity
Organization
Contact information
Practice address
2677 CLEVELAND AVE NW, CANTON, OH 44709-3393
(330) 456-9214
(330) 456-9251
Mailing address
2677 CLEVELAND AVE NW, CANTON, OH 44709-3393
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5944
OH
Other
Enumeration date
02/19/2008
Last updated
06/12/2008
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