Organization
MELVIN PAINTER, PH.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN PAINTER PH.D. (PRESIDENT/PSYCHOLOGIST)
(216) 226-4610
Entity
Organization
Contact information
Practice address
14701 DETROIT AVE, SUITE 258, LAKEWOOD, OH 44107-4115
(216) 226-4610
(216) 226-4720
Mailing address
14701 DETROIT AVE, SUITE 258, LAKEWOOD, OH 44107-4115
(216) 226-4610
(216) 226-4720
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
3040
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0512190
—
OH
Enumeration date
09/10/2009
Last updated
09/10/2009
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