Provider Demographics
NPI:1811626427
Name:FIORITTO, JOHN (BS)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:
Last Name:FIORITTO
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2863 OH-45
Mailing Address - Street 2:
Mailing Address - City:ROCK CREEK
Mailing Address - State:OH
Mailing Address - Zip Code:44084
Mailing Address - Country:US
Mailing Address - Phone:440-710-3290
Mailing Address - Fax:
Practice Address - Street 1:2863 OH-45
Practice Address - Street 2:
Practice Address - City:ROCK CREEK
Practice Address - State:OH
Practice Address - Zip Code:44084
Practice Address - Country:US
Practice Address - Phone:440-710-3290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-08
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2103744-TRNE101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional