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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.

NPI Number 1083004741
LBN Legal business name CROOKED RIVER PSYCHOLOGY ASSOCIATES INC.
Authorized official MICHELLE HILS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2015
Last updated 02/02/2015 - About 11 years ago
Identifiers
OH License # 5259
OH Other 5259 PROFESSIONAL PSYCHOLOGY LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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