Individual
MISS DEATRICE DIANE PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21991 LIBBY RD APT 302, BEDFORD HTS, OH 44146-6875
(216) 323-6579
Mailing address
21991 LIBBY RD APT 302, BEDFORD HTS, OH 44146-6875
(216) 323-6579
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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