Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 1334823 | OH |
NPI | 1053725127 |
---|---|
Provider Name | Mrs. Anna Marie Maratos |
First Address | Loveland, OH 45140-5599 |
Second Address | Loveland, OH 45140-5599 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2014 |
Last Update Date | 17/06/2014 |