| Andrea Hudson, Psy.d. Llc | |
|
20525 Detroit Rd Ste 10 Rocky River OH 44116-2444 | |
| (216) 800-6647 | |
| Not Available |
| Full Name | Andrea Hudson, Psy.d. Llc |
|---|---|
| Speciality | Psychologist |
| Location | 20525 Detroit Rd Ste 10, Rocky River, Ohio |
| Authorized Official Name and Position | Andrea Poet Hudson (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2168006647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Hudson, Psy.d. Llc 20525 Detroit Rd Ste 10 Rocky River OH 44116-2444 Ph: (216) 800-6647 | Andrea Hudson, Psy.d. Llc 20525 Detroit Rd Ste 10 Rocky River OH 44116-2444 Ph: (216) 800-6647 |
| NPI Number | 1467170522 |
|---|---|
| Provider Enumeration Date | 08/16/2022 |
| Last Update Date | 08/16/2022 |
| Certification Date | 08/16/2022 |
| Medicare PECOS PAC ID | 0840676904 |
|---|---|
| Medicare Enrollment ID | O20220928000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467170522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Andrea Poet Hudson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649890898 PECOS PAC ID: 6608296819 Enrollment ID: I20201008002421 |
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