| NPI | 1245615582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DUMA Clinical Psychologist 330-697-6591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008670) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2023-10-05 |