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
Phone: (330) 492-2006
Fax: (330) 492-2161
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639284110 | NPPES |
| Ohio | MEDICAID | 0613858 |
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