Silver Lake Psychiatry, Llc | |
4466 Darrow Rd Ste 14 Stow OH 44224-1891 | |
(330) 858-1173 | |
(330) 967-0151 |
Full Name | Silver Lake Psychiatry, Llc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 4466 Darrow Rd Ste 14, Stow, Ohio |
Authorized Official Name and Position | Marnie Alexandra Neill (DIRECTOR OF CLINICAL SERVICES) |
Authorized Official Contact | 3308581173 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Silver Lake Psychiatry, Llc 4466 Darrow Rd Ste 14 Stow OH 44224-1891 Ph: (330) 858-1173 | Silver Lake Psychiatry, Llc 4466 Darrow Rd Ste 14 Stow OH 44224-1891 Ph: (330) 858-1173 |
NPI Number | 1295304723 |
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Provider Enumeration Date | 06/19/2021 |
Last Update Date | 06/19/2021 |
Certification Date | 06/19/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295304723 | NPI | - | NPPES |
0151055 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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