Individual
MS. CARRIE DEROOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. S
Contact information
Practice address
1349 E 79TH ST, CLEVELAND, OH 44103-2864
(440) 567-4161
Mailing address
12943 CLIFTON BLVD, #401, LAKEWOOD, OH 44107-1573
(440) 567-4161
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH3177042
OH
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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