Provider Demographics
NPI:1073629002
Name:SINGER, OUDI YEHUDAH (MED, LICDC)
Entity type:Individual
Prefix:MR
First Name:OUDI
Middle Name:YEHUDAH
Last Name:SINGER
Suffix:
Gender:M
Credentials:MED, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4526 STOW RD
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-1847
Mailing Address - Country:US
Mailing Address - Phone:330-752-1616
Mailing Address - Fax:
Practice Address - Street 1:4526 STOW RD STE A
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-1847
Practice Address - Country:US
Practice Address - Phone:333-075-2161
Practice Address - Fax:330-319-6581
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLICDC.101035101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)