| NPI | 1083205322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANNE FRANKLIN Billing Manager 216-470-4677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 103TC0700X Psychologist, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-01-29 |