Kenneth Teitlebaum

NPI 1427048461 · on the registry since 2005

Practice

Address: 544 E Woodruff Ave
Toledo, OH 43624
Phone: (419) 693-0631
Fax: (419) 936-7606
Organisation at this address: Unison Behavioral Health Group
Neighborhood Health Association Of Toledo, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 98

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-10-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio