Fordyce, Barbara L

Fordyce, Barbara L is an sole proprietor health care provider with primary practice located at 3722 Whipple Ave Nw , Canton OH 44718. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Fordyce, Barbara L can be contacted via phone (330) 492-2006.

Contact Information

Primary practice address
3722 Whipple Ave Nw Canton OH 44718
Fax: (330) 492-2161
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3642 Ohio

Profile Details

NPI number 1639284110
LBN Legal business name Fordyce, Barbara L
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Jun 19th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639284110 NPPES
Ohio MEDICAID 0613858

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