institution
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. You can also correspond with Northeast Ohio Psychological Consultants, Ltd. through the mailing address at 839 SOUTHWESTERN RUN, POLAND, OH - 44514-4688 (mailing address contact number: 330-758-3819).

Location: 839 Southwestern Run, Poland, OH, 44514-4688
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
State
Zip
44514-4688
Phone Number
330-758-3819
Fax Number
330-758-4965
person
Provider Business Mailing Address Details
Address
839 Southwestern Run
City
State
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
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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