NPI | 1881146959 |
---|---|
Entity Type | Organization |
Authorized Contact | SHONDALE DELOACH Clinical Psychologist 216-513-1862 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008906) |
Enumeration Date | 2016-10-25 |
Last Update Date | 2016-10-25 |