Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 7454 | OH |
Y | 103TC0700X | Clinical Psychologist | 7454 | OH |
NPI | 1003359159 |
---|---|
Provider Name | Dr. Laurel Anne Mchone |
First Address | Massillon, OH 44646-7976 |
Second Address | Massillon, OH 44646-7976 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2016 |
Last Update Date | 22/11/2016 |