Provider Demographics
NPI:1962437095
Name:THE PSYCHOLOGY GROUP OF GREATER TOLEDO INC
Entity type:Organization
Organization Name:THE PSYCHOLOGY GROUP OF GREATER TOLEDO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:S
Authorized Official - Last Name:LAWRENCE-KOCINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-535-1901
Mailing Address - Street 1:4159 HOLLAND SYLVANIA RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4803
Mailing Address - Country:US
Mailing Address - Phone:419-535-1901
Mailing Address - Fax:419-537-1922
Practice Address - Street 1:4159 HOLLAND SYLVANIA RD
Practice Address - Street 2:SUITE 203
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4803
Practice Address - Country:US
Practice Address - Phone:419-535-1901
Practice Address - Fax:419-537-1922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH101YP2500X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty