Organization
HALCYON PSYCHOLOGICAL SERVICES INC
Active
Other names
Diane K Mahoney PhD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE K MAHONEY PHD (CLINICAL DIRECTOR)
(440) 350-1558
Entity
Organization
Contact information
Practice address
6835 MORLEY RD, CONCORD, OH 44077
(440) 350-1932
(440) 357-1558
Mailing address
6835 MORLEY RD, CONCORD, OH 44077
(440) 350-1932
(440) 357-1558
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205683
—
OH
01
—
620004908
RAILROAD MEDICARE
OH
Enumeration date
02/06/2007
Last updated
11/15/2011
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