Daniel Harvey Mazalic
Individual provider Active NPI Rehabilitation Psychologist · Minerva, OH
NPI 1710549134 · NPPES record last updated Jul 5, 2019
Key facts
- NPI
- 1710549134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Psychologist 103TR0400X
- Practice address
- 8599 Knox School Rd
Minerva, OH 44657-9437 - Phone
- (330) 323-9649
- NPI assigned
- Jul 5, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Rehabilitation Psychologist | 103TR0400X | Yes |
Addresses
Primary practice location
8599 Knox School Rd
Minerva, OH 44657-9437
Mailing address
8599 Knox School Rd
Minerva, OH 44657-9437
Phone (330) 323-9649
Other providers in Minerva, OH
- Perry Melvin Lieberman
- Doreen Lietzow
- Bobbi Jo Lovejoy
- Mayle Home Inc.
- Darla Marie Mayle
- Dale Richard McLaughlin
- Nicole Milewsky
- Minerva Center for Living LLC
- Minerva Chiropractic Center Inc.
- Minerva Convalescent Center LLC
All providers in Minerva, OH · Rehabilitation Psychologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.