| NPI | 1023352028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY V SCHAFFER Psychologist 440-972-0454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 5034) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2013-01-31 |