UPI (Provider ID): 11239
Change Report (if Any):

Short Name: SUMMIT PSYCH

Long Name 1: SUMMIT PSYCHOLOGICAL
Long Name 2: ASSOCIATES

Address 1: 37 NORTH BROADWAY STREET
Address 2: BLDG 37

City: AKRON
Zip Code: 443081910
County: SUMM

Contact: JAMES ORLANDO
Title: PRES
Phone: 3305358181
FAX: 3305359336

Vendor: 11239

Reports Status: CLAIMS/NO

MACSIS Last Update Date: 12/08/2011

File Produced: 14JUL2016