Basic Information
Provider Information
NPI: 1588384143
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAVAKIS
FirstName: KATHERINE
MiddleName:  
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Credential:  
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Mailing Information
Address1: 8930 GETTYSBURG DR
Address2:  
City: TWINSBURG
State: OH
PostalCode: 440871547
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 340 S BROADWAY ST
Address2:  
City: AKRON
State: OH
PostalCode: 443081529
CountryCode: US
TelephoneNumber: 3302533100
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/01/2022
LastUpdateDate: 09/18/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
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AuthorizedOfficialCredential:  
NPICertificationDate: 09/18/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808XAPRN.CNP.0032209OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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