Provider Demographics
NPI:1902221922
Name:BAFARO-CIKA, STEFANIA
Entity Type:Individual
Prefix:
First Name:STEFANIA
Middle Name:
Last Name:BAFARO-CIKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2303 GRANTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-4075
Mailing Address - Country:US
Mailing Address - Phone:440-885-4890
Mailing Address - Fax:
Practice Address - Street 1:2303 GRANTWOOD DR
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-4075
Practice Address - Country:US
Practice Address - Phone:440-885-4890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool