| Manrodt Psychiatry, Llc. | |
|
25 Main St Ste 200 Westlake OH 44145-6975 | |
| (440) 381-8237 | |
| (440) 306-3584 |
| Full Name | Manrodt Psychiatry, Llc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 25 Main St Ste 200, Westlake, Ohio |
| Authorized Official Name and Position | Kristen Lee Manrodt (OWNER) |
| Authorized Official Contact | 4403818237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manrodt Psychiatry, Llc. 25 Main St Ste 200 Westlake OH 44145-6975 Ph: (440) 381-8237 | Manrodt Psychiatry, Llc. 25 Main St Ste 200 Westlake OH 44145-6975 Ph: (440) 381-8237 |
| NPI Number | 1326769829 |
|---|---|
| Provider Enumeration Date | 09/05/2022 |
| Last Update Date | 09/05/2022 |
| Certification Date | 09/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326769829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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