Individual provider · Type 1 NPI
Eric Anthony Gietzen
Health Service Psychologist · Massillon, OH
Practice location
93 Rolling Park Dr N
Massillon, OH 44647-5196
Mailing address
93 Rolling Park Drive North
Massillon, OH 44647
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | None listed |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
About NPI 1225554348
Eric Anthony Gietzen's National Provider Identifier is 1225554348, issued on Aug 21, 2017. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Massillon, OH. The record was last updated on Jul 21, 2022.