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Contact Information

JUDE CHAMBERLAIN, PhD
8701 MENTOR AVE
MENTOR, OH44060-6103
 Phone: 440-266-0770
 Fax: 440-266-0257
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JUDE CHAMBERLAIN · (Male)

NPI # 1669868006
Status Active
Credentials PhD
Entity Individual
Enumeration date 04/13/2015
Last updated 04/13/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 7289
  • OH Other 7289 LICENSE NUMBER
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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