Tracy M Dawyduk is a Psychologist in Stow, Ohio. Tracy M Dawyduk practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Tracy M Dawyduk is 1790867513. The last update date is 2020-01-08.
Tracy M Dawyduk's current location address is 4833 Darrow Rd Ste 101, Stow, Ohio. You can contact this provider via phone number 3306505338 and fax number 3303423837. The mailing address for Tracy M Dawyduk is 4833 Darrow Rd Ste 101, Stow, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy M Dawyduk |
|---|---|
| Address | 4833 Darrow Rd Ste 101, Stow, Ohio |
| Phone Number | 3306505338 |
| Fax Number | 3303423837 |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1790867513 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2020-01-08 |
Provider Mailing Address Detail
| Address | 4833 Darrow Rd Ste 101 |
|---|---|
| City | Stow |
| State | Ohio (OH) |
| Post Code | 442241411 |
| Phone Number | 3306505338 |
| Fax Number | 3303423837 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 5685 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 316465 | OH | ANTHEM |
Post Comment/ Review Below
What is the Tracy M Dawyduk's unique identification number?
The Tracy M Dawyduk has been assigned the NPI (National Provider Identifier) Number 1790867513 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Tracy M Dawyduk is geographically located?
The Tracy M Dawyduk is physically situated at the following location: 4833 Darrow Rd Ste 101, Stow, OH, 442241411.
What is Tracy M Dawyduk's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tracy M Dawyduk is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date did the Tracy M Dawyduk receive its 1790867513 assignment from the Centers for Medicare & Medicaid Services?
The Tracy M Dawyduk was assigned its 1790867513 by the Centers for Medicare & Medicaid Services on 2006-10-20.
As of what date was the information regarding Tracy M Dawyduk, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tracy M Dawyduk, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-01-08.