Individual
DR. CHAREL LEE KHOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6133 ROCKSIDE RD, SUITE 207, INDEPENDENCE, OH 44131-2223
(216) 520-5969
(216) 520-5098
Mailing address
3918 CLOCK POINTE TRL, SUITE 104, STOW, OH 44224-2989
(216) 839-2273
(216) 896-0735
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3455
OH
103TC2200X
Clinical Child & Adolescent Psychologist
3455
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34 1593635
TAX ID
OH
Enumeration date
10/14/2005
Last updated
03/15/2013
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