Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XM0800X | Mental Health |
NPI | 1104422948 |
---|---|
Provider Name | Mrs. Adeline Lynn Hartley |
First Address | Lima, OH 45804-1240 |
Second Address | Findlay, OH 45840-3818 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2020 |
Last Update Date | 08/12/2020 |