NPI | 1053589135 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE S WAGNER Managing Partner 216-548-5469 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6025) |
Enumeration Date | 2008-02-12 |
Last Update Date | 2008-02-12 |