| Social Skills 360 Llc | |
|
3042 College St Austinburg OH 44010-9745 | |
| (216) 292-7170 | |
| Not Available |
| Full Name | Social Skills 360 Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3042 College St, Austinburg, Ohio |
| Authorized Official Name and Position | Jay Berk (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2162927170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Social Skills 360 Llc 23293 Commerce Park Beachwood OH 44122-5808 Ph: (216) 292-7170 | Social Skills 360 Llc 3042 College St Austinburg OH 44010-9745 Ph: (216) 292-7170 |
| NPI Number | 1518574425 |
|---|---|
| Provider Enumeration Date | 09/24/2020 |
| Last Update Date | 09/24/2020 |
| Certification Date | 09/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518574425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |