Organization
KENT E ROZEL, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT ROZEL PH.D. (CLINICAL PSYCHOLOGIST)
(216) 291-1845
Entity
Organization
Contact information
Practice address
2000 AUBURN DR STE 200, BEACHWOOD, OH 44122-4328
(216) 291-1845
Mailing address
8340 KINSMAN RD, NOVELTY, OH 44072-9577
(216) 291-1845
(440) 510-5151
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000295650
ANTHEM
OH
05
—
0966674
—
OH
Enumeration date
10/16/2019
Last updated
12/20/2019
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