Provider Demographics
NPI:1104814110
Name:ARONSON, DAVID (PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:ARONSON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:DAVID
Other - Middle Name:
Other - Last Name:ARONSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, FAACP, INC
Mailing Address - Street 1:3241 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-1460
Mailing Address - Country:US
Mailing Address - Phone:330-929-7067
Mailing Address - Fax:330-929-7280
Practice Address - Street 1:3241 OAKWOOD DR
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-1460
Practice Address - Country:US
Practice Address - Phone:330-929-7067
Practice Address - Fax:330-929-7280
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-12
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3052103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0467310Medicaid
OH300164227-00OtherBWC PROVIDER ID
CP00651OtherMEDICARE PTAN
OHA82373Medicare UPIN