Cuyahoga Valley Psychological Llc | |
4833 Darrow Rd Ste 100 Stow OH 44224-1411 | |
(330) 422-3255 | |
(330) 422-3256 |
Full Name | Cuyahoga Valley Psychological Llc |
---|---|
Speciality | Psychologist |
Location | 4833 Darrow Rd Ste 100, Stow, Ohio |
Authorized Official Name and Position | Diane Moran (PRESIDENT) |
Authorized Official Contact | 3304223255 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cuyahoga Valley Psychological Llc 4833 Darrow Rd Ste 100 Stow OH 44224-1411 Ph: (330) 422-3255 | Cuyahoga Valley Psychological Llc 4833 Darrow Rd Ste 100 Stow OH 44224-1411 Ph: (330) 422-3255 |
NPI Number | 1639809692 |
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Provider Enumeration Date | 06/13/2022 |
Last Update Date | 06/13/2022 |
Certification Date | 06/13/2022 |
Medicare PECOS PAC ID | 3274917778 |
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Medicare Enrollment ID | O20220901001620 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639809692 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Diane M Moran |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1942398250 PECOS PAC ID: 7012182785 Enrollment ID: I20111207000603 |
Provider Name | Lori M Wills |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1043308349 PECOS PAC ID: 1759542434 Enrollment ID: I20120406000122 |
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