Konick, Dorothy S

Konick, Dorothy S is an sole proprietor health care provider with primary practice located at 5564 Wilson Mills Rd Suite 201, Highland Heights OH 44143-3265. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Konick, Dorothy S can be contacted via phone (440) 473-9672.

Contact Information

Primary practice address
5564 Wilson Mills Rd Suite 201 Highland Heights OH 44143-3265
Phone: (440) 473-9672
Fax: (440) 461-1047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2510 Ohio

Profile Details

NPI number 1720148463
LBN Legal business name Konick, Dorothy S
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Aug 26th, 2010 - about 14 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 1720148463 NPPES
Ohio MEDICAID 0355824

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