Marianne Katz Wohl, PH.D.

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

3112 Issued in OH

Practice address

3250 West Market Street
Suite Number 11
Fairlawn, OH 44333-3318

Phone

(330) 873-1151

Fax

(330) 873-1151

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003963844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 WEST MARKET STREET",
            "address_2": "SUITE NUMBER 11",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333318",
            "telephone_number": "330-873-1151",
            "fax_number": "330-873-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 WEST MARKET STREET",
            "address_2": "SUITE NUMBER 11",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333318",
            "telephone_number": "330-873-1151",
            "fax_number": "330-873-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHL",
        "first_name": "MARIANNE",
        "middle_name": "KATZ",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "OH",
            "license": "3112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0707140",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Fairlawn, OH by specialty
• Intellectual & Developmental Disabilities Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.