Provider Demographics
NPI:1144417452
Name:PAULA HARTMAN-STEIN
Entity type:Organization
Organization Name:PAULA HARTMAN-STEIN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:E
Authorized Official - Last Name:HARTMAN-STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:330-678-9210
Mailing Address - Street 1:265 W MAIN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-2461
Mailing Address - Country:US
Mailing Address - Phone:330-678-9210
Mailing Address - Fax:330-676-1199
Practice Address - Street 1:265 W MAIN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-2461
Practice Address - Country:US
Practice Address - Phone:330-678-9210
Practice Address - Fax:330-676-1199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9269241Medicare PIN