| NPI | 1790781102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN A MCINTYRE Office Manager 440-333-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2020-06-25 |