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Organization

UNIVERSAL MEDICAL ADMINISTRATION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN W. CASTOR (PRESIDENT/CEO)
(440) 243-5914
Entity
Organization

Contact information

Practice address
7055 ENGLE RD, 404, CLEVELAND, OH 44130-8491
(440) 243-5914
(440) 243-6530
Mailing address
7055 ENGLE RD, 404, CLEVELAND, OH 44130-8491
(440) 243-5914
(440) 243-6530

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
1543
OH
103T00000X
Psychologist
2711
OH
103T00000X
Psychologist
3017
OH
103T00000X
Psychologist
Primary
3504
OH
103T00000X
Psychologist
3565
OH
103T00000X
Psychologist
4068
OH
103T00000X
Psychologist
4072
OH
103T00000X
Psychologist
4553
OH
103T00000X
Psychologist
5941
OH
103T00000X
Psychologist
6096
OH

Other

Enumeration date
12/04/2008
Last updated
12/04/2008
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