Organization
SOCIAL SKILLS 360 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY BERK PH.D. (CLINICAL PSYCHOLOGIST)
(216) 292-7170
Entity
Organization
Contact information
Practice address
3042 COLLEGE ST, AUSTINBURG, OH 44010-9745
(216) 292-7170
Mailing address
23293 COMMERCE PARK, BEACHWOOD, OH 44122-5808
(216) 292-7170
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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