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Contact Information

CREATIVE PSYCHOLOGICAL SERVICES, PLLC
2700 EXECUTIVE PARK NW STE A
CLEVELAND, TN37312-2770
 Phone: 540-418-0105
 Fax: 540-404-2126
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CREATIVE PSYCHOLOGICAL SERVICES PLLC · (Female)

NPI # 1376262840
Status Active
Credentials
Entity Individual
Enumeration date 08/26/2022
Last updated 10/27/2025 - About 7 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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