Licking Memorial Professional Corporation
NPI #1932149150 in Newark, Ohio
Provider Information
- NPI Number
- 1932149150
- Entity Type
- Organization
- Organization Name
- Licking Memorial Professional Corporation
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Jun 7, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- ROBERT A. MONTAGNESE
- Title
- EXECUTIVE VICE PRESIDENT
- Phone
- (740) 348-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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