Provider Demographics
NPI:1891801635
Name:KRZNARIC, STEPHEN J (PHD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:J
Last Name:KRZNARIC
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2321 2ND ST
Mailing Address - Street 2:STE 118
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-2575
Mailing Address - Country:US
Mailing Address - Phone:330-926-0760
Mailing Address - Fax:
Practice Address - Street 1:5001 MAYFIELD RD
Practice Address - Street 2:200
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2602
Practice Address - Country:US
Practice Address - Phone:216-291-4000
Practice Address - Fax:216-291-4111
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2020-04-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH5759103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH293162000OtherMAGELLAN
OH2233774Medicaid
OH000000341047OtherANTHEM
OHP00159170OtherRAILROAD MEDICARE