Basic Information
| Provider Information | |||||||||
| NPI: | 1730654047 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PSYCHOLOGICAL RESOURCES OF TOLEDO, LTD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4841 MONROE ST STE 301 | ||||||||
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| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 436235320 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4194752535 | ||||||||
| FaxNumber: | 4194750881 | ||||||||
| Practice Location | |||||||||
| Address1: | 4841 MONROE ST STE 301 | ||||||||
| Address2: | |||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 436235320 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4194752535 | ||||||||
| FaxNumber: | 4194750881 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/12/2018 | ||||||||
| LastUpdateDate: | 10/12/2018 | ||||||||
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| AuthorizedOfficialLastName: | ALPERIN | ||||||||
| AuthorizedOfficialFirstName: | REBECCA | ||||||||
| AuthorizedOfficialMiddleName: | J. | ||||||||
| AuthorizedOfficialTitleorPosition: | CLINICAL PSYCHOLOGIST | ||||||||
| AuthorizedOfficialTelephone: | 4194752535 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | PH.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.