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Individual

MICHAEL J ESSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1324 PEARL RD, SUITE M4, BRUNSWICK, OH 44212-2802
(330) 225-5561
Mailing address
PO BOX 22958, CLEVELAND, OH 44122-0958
(216) 595-9600
(216) 595-9601

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4160
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0748561
OH
Enumeration date
10/14/2006
Last updated
07/08/2007
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