Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | OH1-00-6038 JJQK140 | OH |
NPI | 1003232521 |
---|---|
Provider Name | Mr. Terry Bendo |
First Address | Akron, OH 44320-1326 |
Second Address | Akron, OH 44320-1326 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2014 |
Last Update Date | 07/03/2014 |