Individual
REVA R PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DODD CERTIFACTION
Contact information
Practice address
1877 ALLANDALE AVE, EAST CLEVELAND, OH 44112-2035
(216) 352-8080
Mailing address
1877 ALLANDALE AVE, EAST CLEVELAND, OH 44112-2035
(216) 352-8080
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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