| NPI | 1235354473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY NEWELL WALLER Psychologist 330-782-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 4312) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2020-08-22 |