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Organization

CLEMENTINE PSYCHIATRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE NEALE (OWNER)
(216) 208-5884
Entity
Organization

Contact information

Practice address
27700 FAIRMOUNT BLVD, CLEVELAND, OH 44124-4612
(216) 208-5884
(216) 250-9611
Mailing address
27700 FAIRMOUNT BLVD, CLEVELAND, OH 44124-4612
(216) 208-5884
(216) 250-9611

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
01/05/2026
Last updated
01/05/2026
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