NPI Registry.org

Daytona Hedrick

NPI Registration Record

Provider / OrganizationNPIDate Certified
DAYTONA HEDRICK15086975412024-11-10

Daytona Hedrick is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1508697541. Registration indicates Daytona Hedrick is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers)

Entity TypeIndividual
Provider Name Daytona Hedrick CT
Practice Office Address4200 MUNSON ST NW STE A
CANTON, OH US
Practice Office Telephone3309152907
Practice Office Fax3309152958
Mailing Address4522 FULTON DR NW
CANTON, OH 447182332 US
Business Telephone3309152907
Business Fax3309152958
Offices / Locations
AddressCity / StatePhone / Fax
4522 Fulton Dr NW Canton, OH 447182332 3309152907 / 3309152958
HPT Codes
CodePractice
License No
State
101Y00000X PRIMARYAccess to Mental Health/Behavioral Health Providers
Behavioral Health & Social Service Providers
Counselor
Behavioral Health & Social Service Providers
Counselor
Counselor

Behavioral Health/Substance Abuse/Psychiatry

Counselor
Behavioral Health & Social Service Providers
C.2405976-TRNE
OH
OPI Codes
0073935 MEDICAID OH
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