Individual
ISHANI TICINELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
23250 CHAGRIN BLVD, SUITE 425, BEACHWOOD, OH 44122-5470
(216) 464-4243
(216) 595-8210
Mailing address
23250 CHAGRIN BLVD, SUITE 425, BEACHWOOD, OH 44122-5470
(216) 464-4243
(216) 595-8210
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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