| NPI | 1336205590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE WHEATLEY Practice Manager 440-546-0048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH 6017) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 6017) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2022-10-19 |