Individual
DR. PAUL R MINNILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106
(216) 844-2400
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2890724
—
OH
Enumeration date
11/18/2008
Last updated
12/07/2020
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