MR. IAN MICHAEL DEWALT LPC NPI 1689284093

NPI Information

NPI: 1689284093
Provider Name: MR. IAN MICHAEL DEWALT, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
12557 RAVENWOOD DR
CHARDON, OH
ZIP 44024
Phone: (440) 285-3568
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MR. Ian Michael Dewalt, LPC is a professional counselor in Chardon, OH. MR. Ian Michael Dewalt, LPC NPI is 1689284093. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12557 RAVENWOOD DR
CHARDON, OH
ZIP 44024-009
Phone: (440) 285-3568

The enumeration date for this NPI number is 8/1/2020 and was last updated on 8/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	C.1700329	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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