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Northeast Ohio Psychological Consultants, Ltd.
Clinic/Center in Poland, Ohio
NPI 1396797387

Northeast Ohio Psychological Consultants, Ltd. is a Clinic/Center based in Poland, OH. Northeast Ohio Psychological Consultants, Ltd. practices in Poland, OH. The NPI Number for Northeast Ohio Psychological Consultants, Ltd. is 1396797387 and holds a License No. 4295 (Ohio).

The current practice location address for Northeast Ohio Psychological Consultants, Ltd. is 839 Southwestern Run, Poland, OH and can be reached out via phone at 330-758-3819 and via fax at 330-758-4965.

Location: 839 Southwestern Run, Poland, OH, 44514-4688
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396797387
Provider Name
Northeast Ohio Psychological Consultants, Ltd.
Credential
Provider Entity Type
Organization
Address
839 Southwestern Run, Poland, OH, 44514-4688
Phone Number
330-758-3819
Fax Number
330-758-4965
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11389741 01 OH CAQH PROVIDER #
162919 01 OH GM/PACKARD/CIGNA #
227276000 01 OH MAGELLAN MIS #
4295 01 OH OHIO LICENSE #
000000248739 01 OH ANTHEM #
334924 01 OH MHS #
CP03076 01 OH MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
839 Southwestern Run
City
Poland
State
Ohio
Zip
44514-4688
Phone Number
330-758-3819
Fax Number
330-758-4965
person
Provider Business Mailing Address Details
Address
839 Southwestern Run
City
Poland
State
Ohio
Zip
44514-4688
Phone Number
330-758-3819
Fax Number
330-758-4965
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
4295 (Ohio)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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