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Contact Information

COUNTEE G MOTLEY JR
6216 STORER AVE
CLEVELAND, OH44102-5526
 Phone: 440-985-0787
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for COUNTEE G MOTLEY JR · (Male)

NPI # 1447996350
Status Active
Credentials
Entity Individual
Enumeration date 05/12/2022
Last updated 05/12/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • OH Medicaid 00
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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