Individual
DEBORAH STAELENS ROSCH EIFERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
22540 LORAIN RD, FAIRVIEW PARK, OH 44126-2212
(440) 734-4037
(440) 734-4710
Mailing address
2201 GRANDVIEW AVE, CLEVELAND HEIGHTS, OH 44106-3134
(216) 409-9785
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
5271
OH
103TC0700X
Clinical Psychologist
Primary
5271
OH
103TF0200X
Forensic Psychologist
5271
OH
Other
Enumeration date
06/15/2007
Last updated
08/29/2012
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