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Contact Information

CROOKED RIVER PSYCHOLOGY ASSOCIATES INC.
375 HARBOR CT
AVON LAKE, OH44012-2489
 Phone: 216-346-3794
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CROOKED RIVER PSYCHOLOGY ASSOCIATES INC · (Female)

NPI # 1083004741
Status Active
Credentials
Entity Individual
Enumeration date 02/02/2015
Last updated 02/02/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH License # 5259
  • OH Other 5259 PROFESSIONAL PSYCHOLOGY LICENSE
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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