Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 5543 | OH |
NPI | 1013497908 |
---|---|
Provider Name | Dr. Lisa M Drogosz |
First Address | Marion, OH 43302-8683 |
Second Address | Marion, OH 43302-8683 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2018 |
Last Update Date | 20/08/2018 |