Individual
EMILY R BRACCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
6700 BETA DR STE 108, MAYFIELD VILLAGE, OH 44143-2335
(440) 460-0140
(440) 460-5413
Mailing address
6700 BETA DR STE 108, MAYFIELD VILLAGE, OH 44143-2335
(440) 460-0140
(440) 460-5413
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APP-000581603
OH
103TC0700X
Clinical Psychologist
581603
OH
103TC0700X
Clinical Psychologist
APP-000581603
OH
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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