| Elizabeth B Wyatt Phd Inc | |
|
8039 Broadmoor Rd Suite 15 Mentor OH 44060-7577 | |
| (440) 269-1500 | |
| (440) 269-8545 |
| Full Name | Elizabeth B Wyatt Phd Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 8039 Broadmoor Rd, Mentor, Ohio |
| Authorized Official Name and Position | Elizabeth Blair Wyatt (PRESIDENT) |
| Authorized Official Contact | 4402691500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth B Wyatt Phd Inc 8039 Broadmoor Rd Suite 15 Mentor OH 44060-7577 Ph: (440) 269-1500 | Elizabeth B Wyatt Phd Inc 8039 Broadmoor Rd Suite 15 Mentor OH 44060-7577 Ph: (440) 269-1500 |
| NPI Number | 1407176605 |
|---|---|
| Provider Enumeration Date | 06/10/2010 |
| Last Update Date | 06/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407176605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4508 (Ohio) | Primary |
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