| NPI | 1255580684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIR M POREH Owner 216-577-9342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2021-01-05 |