Unknown Individual – Psychologist, NPI 1457558967
Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
12550, Lake Avenue, Gold Coast, Lakewood, Cuyahoga County, Ohio, 44107, United States
SUITE 1501
LAKEWOOD, OH 441071575
Phone: (216) 870-0807
Fax: (216) 712-7709
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44107)
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