| NPI | 1871531210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH WARE Practice Adminstrator 216-844-3192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103T00000X Psychologist | |
| 364SN0800X Clinical Nurse Specialist, Neuroscience | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-08-22 |