Individual
DR. DEBORAH A KORICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
20800 WESTGATE PROFESSIONAL CENTER, SUITE 200, FAIRVIEW PARK, OH 44126
(440) 333-4949
(440) 333-5044
Mailing address
20800 WESTGATE PROFESSIONAL CENTER, SUITE 200, FAIRVIEW PARK, OH 44126
(440) 333-4949
(440) 333-5044
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3304
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0704250
—
OH
Enumeration date
07/28/2006
Last updated
01/26/2011
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