Organization
DEBORAH KORICKE, PHD AND ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH KORICKE PHD (OWNER)
(440) 333-4949
Entity
Organization
Contact information
Practice address
20800 CENTER RIDGE RD STE 105, ROCKY RIVER, OH 44116-4314
(440) 333-4949
(440) 333-5044
Mailing address
20800 CENTER RIDGE RD STE 105, ROCKY RIVER, OH 44116-4314
(440) 333-4949
(440) 333-5044
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
E0001805
OH
103TC0700X
Clinical Psychologist
Primary
3304
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0704250
—
OH
Enumeration date
03/04/2009
Last updated
03/04/2009
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