Individual
EMILY STUPICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
34050 GLEN DRIVE, EASTLAKE, OH 44095
(216) 215-5262
Mailing address
34050 GLEN DRIVE, EASTLAKE, OH 44095
(216) 215-5262
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SP472
OH
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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