Provider Demographics
NPI:1417131657
Name:NEUHART, DEBORAH (PCC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:NEUHART
Suffix:
Gender:F
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE PERKINS SQUARE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1062
Mailing Address - Country:US
Mailing Address - Phone:330-543-3733
Mailing Address - Fax:330-543-3270
Practice Address - Street 1:ONE PERKINS SQUARE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1062
Practice Address - Country:US
Practice Address - Phone:330-543-3733
Practice Address - Fax:330-543-3270
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0004225101YP2500X
OHS.0023710104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker