Provider Demographics
NPI:1396165528
Name:BIHARY, STEPHEN
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:
Last Name:BIHARY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 290
Mailing Address - Street 2:
Mailing Address - City:TONTOGANY
Mailing Address - State:OH
Mailing Address - Zip Code:43565-0290
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18505 TONTOGANY CREEK RD.
Practice Address - Street 2:
Practice Address - City:TONTOGANY
Practice Address - State:OH
Practice Address - Zip Code:43565
Practice Address - Country:US
Practice Address - Phone:419-823-4381
Practice Address - Fax:419-823-1703
Is Sole Proprietor?:No
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH1268459103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool