| Jackosky Health Inc | |
|
30400 Detroit Rd Ste 404 Westlake OH 44145-1855 | |
| (440) 250-2130 | |
| (440) 250-2140 |
| Full Name | Jackosky Health Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 30400 Detroit Rd Ste 404, Westlake, Ohio |
| Authorized Official Name and Position | Catherine Jackosky (OWNER) |
| Authorized Official Contact | 4402502130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackosky Health Inc 30400 Detroit Rd Ste 404 Westlake OH 44145-1855 Ph: (440) 250-2130 | Jackosky Health Inc 30400 Detroit Rd Ste 404 Westlake OH 44145-1855 Ph: (440) 250-2130 |
| NPI Number | 1841506763 |
|---|---|
| Provider Enumeration Date | 08/30/2010 |
| Last Update Date | 08/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841506763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 35075326 (Ohio) | Primary |
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