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Individual

STEVEN P HAMPL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-2400
Mailing address
10524 EUCLID AVE, CLEVELAND, OH 44106-2205
(216) 844-2400
(216) 844-2877

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
4051
OH
103T00000X
Psychologist
Primary
P.4051
OH
103TC1900X
Counseling Psychologist
4051
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000224276
UNISON
OH
01
000000533013
ANTHEM
OH
05
0139291
OH
01
363609
WELLCARE MEDICAID
OH
01
4113980
AETNA
OH
01
680005825
RAILROAD MEDICARE
OH
Enumeration date
07/20/2006
Last updated
01/14/2021
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