Provider Demographics
NPI:1912022120
Name:SCHWEIZER, CECILIA MARIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:MARIE
Last Name:SCHWEIZER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1829 FULTON RD NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44709-3523
Mailing Address - Country:US
Mailing Address - Phone:330-456-1899
Mailing Address - Fax:330-456-4191
Practice Address - Street 1:1829 FULTON RD NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44709-3523
Practice Address - Country:US
Practice Address - Phone:330-456-1899
Practice Address - Fax:330-456-4191
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3948103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0682846Medicaid
OH0682846Medicaid