Kimberly Altobelli, ED.S.
Individual provider Active NPI School Psychologist · Canfield, OH
NPI 1972148773 · NPPES record last updated Nov 15, 2019
Key facts
- NPI
- 1972148773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- OH3206762 (OH)
- Practice address
- 7320 N Palmyra Rd
Canfield, OH 44406-9709 - Phone
- (330) 533-8755
- Fax
- (330) 533-8777
- NPI assigned
- Nov 15, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH3206762 | OH | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | OH3206762 | OH | Yes |
Addresses
Primary practice location
7320 N Palmyra Rd
Canfield, OH 44406-9709
Mailing address
531 Bonnie Brae Ave
Niles, OH 44446-3803
Phone (330) 883-8766
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OH3206762 | Medicaid | OH |
Other providers in Canfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 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.