| Northcoast Psychology Llc | |
|
29525 Chagrin Blvd Ste 380 Beachwood OH 44122-4601 | |
| (216) 245-1058 | |
| Not Available |
| Full Name | Northcoast Psychology Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 29525 Chagrin Blvd Ste 380, Beachwood, Ohio |
| Authorized Official Name and Position | Daniel Fishman (OWNER) |
| Authorized Official Contact | 2162451058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northcoast Psychology Llc 29525 Chagrin Blvd Ste 380 Beachwood OH 44122-4601 Ph: (216) 245-1058 | Northcoast Psychology Llc 29525 Chagrin Blvd Ste 380 Beachwood OH 44122-4601 Ph: (216) 245-1058 |
| NPI Number | 1598399347 |
|---|---|
| Provider Enumeration Date | 03/02/2020 |
| Last Update Date | 05/07/2020 |
| Certification Date | 05/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598399347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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