Neuropsychology And Psychotherapy Services Of Cleveland Llc | |
3601 Green Rd Ste 218 Beachwood OH 44122-5719 | |
(216) 595-8900 | |
(216) 595-0088 |
Full Name | Neuropsychology And Psychotherapy Services Of Cleveland Llc |
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Speciality | Clinical Neuropsychologist |
Location | 3601 Green Rd Ste 218, Beachwood, Ohio |
Authorized Official Name and Position | Barry S Layton (OWNER) |
Authorized Official Contact | 2165958900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neuropsychology And Psychotherapy Services Of Cleveland Llc 23811 Chagrin Blvd Ste 307 Beachwood OH 44122-5525 Ph: (216) 595-8900 | Neuropsychology And Psychotherapy Services Of Cleveland Llc 3601 Green Rd Ste 218 Beachwood OH 44122-5719 Ph: (216) 595-8900 |
NPI Number | 1073575106 |
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Provider Enumeration Date | 04/04/2006 |
Last Update Date | 06/30/2022 |
Certification Date | 06/30/2022 |
Medicare PECOS PAC ID | 2264466812 |
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Medicare Enrollment ID | O20050926000550 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073575106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
103T00000X | Psychologist | (* (Not Available)) | Secondary |
Provider Name | Barry S Layton |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1174585202 PECOS PAC ID: 8527092170 Enrollment ID: I20050926000723 |
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