| Deborah Koricke, Phd And Associates, Llc | |
|
20800 Center Ridge Rd Ste 105 Rocky River OH 44116-4314 | |
| (440) 333-4949 | |
| (440) 333-5044 |
| Full Name | Deborah Koricke, Phd And Associates, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 20800 Center Ridge Rd Ste 105, Rocky River, Ohio |
| Authorized Official Name and Position | Deborah Koricke (OWNER) |
| Authorized Official Contact | 4403334949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Koricke, Phd And Associates, Llc 20800 Center Ridge Rd Ste 105 Rocky River OH 44116-4314 Ph: (440) 333-4949 | Deborah Koricke, Phd And Associates, Llc 20800 Center Ridge Rd Ste 105 Rocky River OH 44116-4314 Ph: (440) 333-4949 |
| NPI Number | 1548400583 |
|---|---|
| Provider Enumeration Date | 03/04/2009 |
| Last Update Date | 03/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548400583 | NPI | - | NPPES |
| 0704250 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E0001805 (Ohio) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3304 (Ohio) | Primary |
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