| NPI | 1407176605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BLAIR WYATT President 440-269-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OH 4508) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |