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Dr. Philip Stephen Fastenau, PHD
Clinical Neuropsychologist in Cleveland, Ohio
NPI 1407012883

Philip Stephen Fastenau is a Clinical Neuropsychologist based in Euclid, OH. Philip Stephen Fastenau practices in Cleveland, OH and has the professional credentials of PHD. The NPI Number for Philip Stephen Fastenau is 1407012883 and holds a License No. 6463 (Ohio).

The current practice location address for Philip Stephen Fastenau is 11100 Euclid Ave, Cleveland, OH and can be reached out via phone at 216-844-2400 and via fax at 216-844-1703.

Location: 11100 Euclid Ave, Cleveland, OH, 44117-1714
person
Provider Profile Details
NPI Number
1407012883
Provider Name
Philip Stephen Fastenau
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
11100 Euclid Ave, Cleveland, OH, 44117-1714
Phone Number
216-844-2400
Fax Number
216-844-1703
Provider Enumeration Date
08/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00690297 01 OH MEDICARE RAILROAD
2842786 05 OH
institution
Provider Business Practice Location Address Details
Address
11100 Euclid Ave
City
State
Zip
44106-1716
Phone Number
216-844-2400
Fax Number
216-844-1703
person
Provider Business Mailing Address Details
Address
11100 Euclid Ave
City
State
Zip
44106-1716
Phone Number
216-844-2400
Fax Number
216-844-1703
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
License No.
6463 (Ohio)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
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