Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | OH3102366 | OH |
NPI | 1083024335 |
---|---|
Provider Name | Ms. Allyson Laganke |
First Address | Hudson, OH 44236-5963 |
Second Address | Barberton, OH 44203-1799 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2014 |
Last Update Date | 26/04/2021 |