Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | SP 542 | OH |
NPI | 1093058729 |
---|---|
Provider Name | Mrs. Marlana B Esposito |
First Address | Mogadore, OH 44260-1173 |
Second Address | Mogadore, OH 44260-1173 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2013 |
Last Update Date | 01/04/2013 |