Organization
PSYCH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY J DUFF-BOEHM PH.D. (CLINICAL DIRECTOR)
(440) 777-9200
Entity
Organization
Contact information
Practice address
26777 LORAIN RD, SUITE 716, NORTH OLMSTED, OH 44070-3200
(440) 777-9200
(440) 777-9288
Mailing address
26777 LORAIN RD, SUITE 716, NORTH OLMSTED, OH 44070-3200
(440) 777-9200
(440) 777-9288
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
3637
OH
103TC0700X
Clinical Psychologist
Primary
3637
OH
103TC2200X
Clinical Child & Adolescent Psychologist
3637
OH
1041C0700X
Clinical Social Worker
17264
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0278684
—
OH
Enumeration date
11/24/2006
Last updated
10/22/2014
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