Provider Demographics
NPI:1235610130
Name:MCNAIR, MYRON (EDD, MA, LISW)
Entity Type:Individual
Prefix:DR
First Name:MYRON
Middle Name:
Last Name:MCNAIR
Suffix:
Gender:M
Credentials:EDD, MA, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2344 CORONADO AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44504-1311
Mailing Address - Country:US
Mailing Address - Phone:330-233-4383
Mailing Address - Fax:
Practice Address - Street 1:507 OAK HILL AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44502-1823
Practice Address - Country:US
Practice Address - Phone:330-233-4383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-28
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.18011561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical