Individual
DR. PAUL M JERDONEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8748 BRECKSVILLE RD, STE 222, BRECKSVILLE, OH 44141-1985
(216) 839-2273
(216) 896-0735
Mailing address
3591 RESERVE COMMONS DR STE 301, MEDINA, OH 44256-5334
(330) 764-7916
(330) 723-6399
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3609
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0382036
—
OH
Enumeration date
11/07/2005
Last updated
07/08/2007
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