Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | OH3151545 | OH |
NPI | 1093117954 |
---|---|
Provider Name | Caitlin Sabo |
First Address | Cuyahoga Falls, OH 44223-1229 |
Second Address | Parma, OH 44130-6009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2014 |
Last Update Date | 23/09/2014 |