Organization
NORTHCOAST PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL FISHMAN PHD (OWNER)
(216) 245-1058
Entity
Organization
Contact information
Practice address
29525 CHAGRIN BLVD STE 380, BEACHWOOD, OH 44122-4601
(216) 245-1058
Mailing address
29525 CHAGRIN BLVD STE 380, BEACHWOOD, OH 44122-4601
(216) 245-1058
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
05/07/2020
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