Individual
MARY ELLEN KAUCHECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.S.
Contact information
Practice address
528 GARFORD AVE, ELYRIA, OH 44035-6410
(440) 284-8011
Mailing address
27652 REMINGTON DR, WESTLAKE, OH 44145-2164
(440) 284-8071
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LSP.00680
OH
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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