Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 644 | OH |
NPI | 1063557379 |
---|---|
Provider Name | Mr. William E Mohler |
First Address | Canton, OH 44718-3630 |
Second Address | Canton, OH 44718-3630 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 08/07/2007 |