| 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 |