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Contact Information

360TEAM PSYCHIATRY LLC
740 COMMERCE DR STE A
PERRYSBURG, OH43551-5276
 Phone: 502-244-2420
 Fax: 502-996-8282
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for 360TEAM PSYCHIATRY LLC · (Female)

NPI # 1780267146
Status Active
Credentials
Entity Individual
Enumeration date 05/04/2021
Last updated 05/04/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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