Marc Robert Pagano in North Royalton - Clinical

Marc Robert Pagano - NPI 1457560054

Marc Robert Pagano is a Clinical in North Royalton, Ohio. Marc Robert Pagano practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marc Robert Pagano is 1457560054. The last update date is 2011-04-12.

Marc Robert Pagano's current location address is 11528 Royalton Rd, North Royalton, Ohio. You can contact this provider via phone number 4405823310 and fax number 4405823310. The mailing address for Marc Robert Pagano is 11528 Royalton Rd, North Royalton, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Marc Robert Pagano
Address 11528 Royalton Rd, North Royalton, Ohio
Phone Number 4405823310
Fax Number 4405823310
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1457560054
Provider Enumeration Date 2007-05-21
Last Updated Date 2011-04-12

Provider Mailing Address Detail

Address 11528 Royalton Rd
City North Royalton
State Ohio (OH)
Post Code 441334469
Phone Number 4405823310
Fax Number 4405823310

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 3320
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
674453 OH --
160013 OH VALUE OPTIONS
341485124 OH MEDICAL MUTUAL OF OHIO

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FAQs about Marc Robert Pagano

What is the unique identifier code issued to Marc Robert Pagano by the Centers for Medicare & Medicaid Services?

The Marc Robert Pagano has been assigned the NPI (National Provider Identifier) 1457560054. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Marc Robert Pagano is physically located?

The Marc Robert Pagano is situated at the following address: 11528 Royalton Rd, North Royalton, OH 441334469.

What is Marc Robert Pagano's specialized field of practice, and what is the corresponding taxonomy classification code?

The Marc Robert Pagano's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1457560054 to Marc Robert Pagano?

The Centers for Medicare & Medicaid Services originally issued the 1457560054 to Marc Robert Pagano on 2007-05-21.

As of what date was the information regarding Marc Robert Pagano, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Marc Robert Pagano, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-04-12.

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