Individual
DR. HALLIE E FETTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, BCBA, COBA
Contact information
Practice address
2801 MARTIN LUTHER KING JR DR, CLEVELAND, OH 44104-3815
(216) 636-5437
Mailing address
2801 MARTIN LUTHER KING JR DR, CLEVELAND, OH 44104-3815
(216) 636-5437
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
COBA.00598
OH
103T00000X
Psychologist
Primary
P.08347
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
06/03/2018
Last updated
09/09/2022
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