| NPI | 1730596206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE BELANGER Licensed Psychologist 330-347-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6660) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2017-12-25 |