Individual
KARISSA FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10524 EUCLID AVE FL 12, CLEVELAND, OH 44106-2205
(216) 844-2400
Mailing address
8055 MAYFIELD RD, STE 105, CHESTERLAND, OH 44026-2447
(440) 214-8027
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
07935
OH
Other
Enumeration date
09/04/2019
Last updated
12/26/2020
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