| Dr Stacey A Hancock Llc | |
|
11925 Pearl Rd Suite 102a Strongsville OH 44136-3353 | |
| (440) 554-5661 | |
| Not Available |
| Full Name | Dr Stacey A Hancock Llc |
|---|---|
| Speciality | Psychologist |
| Location | 11925 Pearl Rd, Strongsville, Ohio |
| Authorized Official Name and Position | Stacey A Hancock (PRESIDENT) |
| Authorized Official Contact | 3307582775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stacey A Hancock Llc Po Box 14397 Poland OH 44514-7397 Ph: (330) 758-2775 | Dr Stacey A Hancock Llc 11925 Pearl Rd Suite 102a Strongsville OH 44136-3353 Ph: (440) 554-5661 |
| NPI Number | 1083948533 |
|---|---|
| Provider Enumeration Date | 09/30/2009 |
| Last Update Date | 09/30/2009 |
| Medicare PECOS PAC ID | 8426194507 |
|---|---|
| Medicare Enrollment ID | O20091002000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083948533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6098 (Ohio) | Primary |
| Provider Name | Stacey A Ilko-hancock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194778993 PECOS PAC ID: 4789602913 Enrollment ID: I20051107000536 |
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