Individual
DR. MARLENE MOSS BLUMENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
21403 CHAGRIN BLVD, #210, BEACHWOOD, OH 44122-5322
(216) 751-1007
(216) 464-5224
Mailing address
21403 CHAGRIN BLVD, #210, BEACHWOOD, OH 44122-5322
(216) 751-1007
(216) 464-5224
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SP265
OH
Other
Enumeration date
03/14/2009
Last updated
03/14/2009
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