| Lakewood Wellness | |
|
15644 Madison Ave Ste 202 Lakewood OH 44107-5622 | |
| (440) 202-1708 | |
| (440) 287-9707 |
| Full Name | Lakewood Wellness |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 15644 Madison Ave Ste 202, Lakewood, Ohio |
| Authorized Official Name and Position | Kendra Mathys (OWNER) |
| Authorized Official Contact | 4402021708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Wellness 15644 Madison Ave Ste 202 Lakewood OH 44107-5622 Ph: (440) 202-1708 | Lakewood Wellness 15644 Madison Ave Ste 202 Lakewood OH 44107-5622 Ph: (440) 202-1708 |
| NPI Number | 1093296261 |
|---|---|
| Provider Enumeration Date | 08/27/2018 |
| Last Update Date | 08/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093296261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | P.7357 (Ohio) | Primary |
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