Provider Demographics
NPI:1134549843
Name:COLIC-TURCINOV, MARIJA (MA)
Entity type:Individual
Prefix:MS
First Name:MARIJA
Middle Name:
Last Name:COLIC-TURCINOV
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10770 COTTAGE HILL LN
Mailing Address - Street 2:
Mailing Address - City:CHARDON
Mailing Address - State:OH
Mailing Address - Zip Code:44024-9762
Mailing Address - Country:US
Mailing Address - Phone:216-523-8498
Mailing Address - Fax:216-523-6309
Practice Address - Street 1:10770 COTTAGE HILL LN
Practice Address - Street 2:
Practice Address - City:CHARDON
Practice Address - State:OH
Practice Address - Zip Code:44024-9762
Practice Address - Country:US
Practice Address - Phone:216-544-7555
Practice Address - Fax:216-523-6309
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-21
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool