Organization
ELIZABETH B WYATT PHD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH BLAIR WYATT PH.D. (PRESIDENT)
(440) 269-1500
Entity
Organization
Contact information
Practice address
8039 BROADMOOR RD, SUITE 15, MENTOR, OH 44060-7577
(440) 269-1500
(440) 269-8545
Mailing address
8039 BROADMOOR RD, SUITE 15, MENTOR, OH 44060-7577
(440) 269-1500
(440) 269-8545
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4508
OH
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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