Provider Demographics
NPI:1346212107
Name:KURZWEIL, ALAN DENNIS (LISW)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:DENNIS
Last Name:KURZWEIL
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4035 MEADOWVALE CT
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-1195
Mailing Address - Country:US
Mailing Address - Phone:330-659-3298
Mailing Address - Fax:330-836-6825
Practice Address - Street 1:3200 W MARKET ST
Practice Address - Street 2:STE 205
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3335
Practice Address - Country:US
Practice Address - Phone:330-836-6828
Practice Address - Fax:330-836-6742
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-26731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSW06063Medicare ID - Type Unspecified