Dr Tania Lodge, PHD, PCC-S is a 
Psychologist - Clinical based in Fairlawn, Ohio. Dr Tania Lodge is licensed to practice in Ohio (license number P.08616) and her current practice location is 
3618 W Market St Ste 15, Fairlawn, Ohio. She can be reached at her office (for appointments etc.) via phone at 
(234) 466-0445.
NPI number for Dr Tania Lodge is 1437315520 and her current mailing address is 3618 W Market St Ste 16, Fairlawn, Ohio. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437315520.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Dr Tania Lodge | 
|---|
| Gender | Female | 
|---|
| Speciality | Psychologist - Clinical | 
|---|
| Location | 3618 W Market St Ste 15, Fairlawn, Ohio | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1437315520
 - Provider Enumeration Date: 07/29/2008
 - Last Update Date: 04/16/2024
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Dr Tania Lodge such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1437315520 | NPI | - | NPPES | 
| 0214582 | Medicaid | OH |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 101YM0800X | Counselor - Mental Health  | E.0500437 (Ohio) | Secondary | 
| 103TC0700X | Psychologist - Clinical  | P.08616 (Ohio) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tania Lodge is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Dr Tania Lodge, PHD, PCC-S 3618 W Market St Ste 16, Fairlawn, OH 44333-2425 Ph: (234) 466-0445 | Dr Tania Lodge, PHD, PCC-S 3618 W Market St Ste 15, Fairlawn, OH 44333-2425 Ph: (234) 466-0445 | 
		
		 
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