Organization
FAUST PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WILLIAM FAUST SR. PH.D (PSYCHOLOGIST)
(216) 363-2363
Entity
Organization
Contact information
Practice address
1730 WEST 25TH ST., CLEVELAND, OH 44113
(216) 363-2363
(216) 696-7488
Mailing address
1730 WEST 25TH ST., CLEVELAND, OH 44113
(216) 363-2363
(216) 696-7488
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4749
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0967584
—
OH
Enumeration date
10/04/2007
Last updated
05/04/2012
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