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Organization

NORTH SHORE PSYCHOLOGICAL SERVICES LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID L HAUSMAN (TREASURER)
(440) 992-1144
Entity
Organization

Contact information

Practice address
355 W PROSPECT RD, SUITE 124, ASHTABULA, OH 44004-5830
(440) 992-1144
(440) 998-1996
Mailing address
355 W PROSPECT RD STE 124, ASHTABULA, OH 44004-5830
(440) 992-1144
(440) 998-1996

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor
103T00000X
Psychologist
Primary
103TB0200X
Cognitive & Behavioral Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
1041C0700X
Clinical Social Worker

Other

Enumeration date
11/18/2005
Last updated
08/21/2007
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