Patrice M Fetzer is a Clinical in Canton, Ohio. Patrice M Fetzer practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patrice M Fetzer is 1477528495. The last update date is 2022-07-21.
Patrice M Fetzer's current location address is 625 Cleveland Ave Nw, Canton, Ohio. You can contact this provider via phone number 3304550374 and fax number 3304552101. The mailing address for Patrice M Fetzer is 625 Cleveland Ave Nw, Canton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrice M Fetzer |
|---|---|
| Address | 625 Cleveland Ave Nw, Canton, Ohio |
| Phone Number | 3304550374 |
| Fax Number | 3304552101 |
| Sole Proprietor | X |
| Credentials | MA, LISW |
NPI Number Detail
| NPI Number | 1477528495 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 625 Cleveland Ave Nw |
|---|---|
| City | Canton |
| State | Ohio (OH) |
| Post Code | 447021805 |
| Phone Number | 3304550374 |
| Fax Number | 3304552101 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I-9751 |
|
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Patrice M Fetzer?
The Patrice M Fetzer has been issued the NPI (National Provider Identifier) 1477528495 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Patrice M Fetzer is physically located?
The Patrice M Fetzer is situated at the following address: 625 Cleveland Ave Nw, Canton, OH 447021805.
What is Patrice M Fetzer's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Patrice M Fetzer is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1477528495 to Patrice M Fetzer?
The Patrice M Fetzer received its 1477528495 assignment from the Centers for Medicare & Medicaid Services on 2006-02-22.
When was the information pertaining to Patrice M Fetzer most recently updated or revised?
The details related to Patrice M Fetzer, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.