Basic Information
| Provider Information | |||||||||
| NPI: | 1861726739 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PAWLOSKI | ||||||||
| FirstName: | BRITHANY | ||||||||
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| Credential: | PSY.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10344 OBEE RD | ||||||||
| Address2: | |||||||||
| City: | WHITEHOUSE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 435719672 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4193450204 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5465 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | SYLVANIA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 435602155 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4198858800 | ||||||||
| FaxNumber: | 4198858600 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2009 | ||||||||
| LastUpdateDate: | 09/25/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 6582 | OH | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.