Organization
FAIRMOUNT PROFESSIONAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN EUGENE ALLERHAND PHD (PRESIDENT)
(216) 321-6624
Entity
Organization
Contact information
Practice address
2490 LEE BLVD, SUITE 314, CLEVELAND HEIGHTS, OH 44118-1268
(216) 321-6624
Mailing address
2490 LEE BLVD, SUITE 314, CLEVELAND HEIGHTS, OH 44118-1268
(216) 321-6624
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
137
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400935
—
OH
Enumeration date
11/16/2009
Last updated
11/16/2009
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