Provider Demographics
NPI:1245308493
Name:INA, MARGARET KAY (MA)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:KAY
Last Name:INA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
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Mailing Address - Street 1:190 CURRIE HALL PARKWAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240
Mailing Address - Country:US
Mailing Address - Phone:330-673-5812
Mailing Address - Fax:330-673-7162
Practice Address - Street 1:190 CURRIE HALL PARKWAY
Practice Address - Street 2:SUITE A
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240
Practice Address - Country:US
Practice Address - Phone:330-673-5812
Practice Address - Fax:330-673-7162
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH1469103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000345259OtherANTHEM
267443000OtherMAGELLAN
OH2450780Medicaid
96870OtherQUAL CHOICE
267443000OtherMAGELLAN