| Laura Moncrief, Psy.d., Llc | |
|
7155 Pearl Rd Ste 102 Middleburg Heights OH 44130-4945 | |
| (330) 391-9683 | |
| Not Available |
| Full Name | Laura Moncrief, Psy.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7155 Pearl Rd Ste 102, Middleburg Heights, Ohio |
| Authorized Official Name and Position | Laura L Moncrief (OWNER) |
| Authorized Official Contact | 3303919683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Moncrief, Psy.d., Llc 7155 Pearl Rd Ste 102 Middleburg Heights OH 44130-4945 Ph: (330) 391-9683 | Laura Moncrief, Psy.d., Llc 7155 Pearl Rd Ste 102 Middleburg Heights OH 44130-4945 Ph: (330) 391-9683 |
| NPI Number | 1184241655 |
|---|---|
| Provider Enumeration Date | 07/01/2020 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/05/2023 |
| Medicare PECOS PAC ID | 3072970011 |
|---|---|
| Medicare Enrollment ID | O20230606001875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184241655 | NPI | - | NPPES |
| 0196269 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Laura L Moncrief |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417160615 PECOS PAC ID: 4981061926 Enrollment ID: I20230606002197 |
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