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Individual

DR. JILL HELENE MUSHKAT CONOMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
6803 MAYFIELD RD. #200, CCHSEAST HILLCREST HOSP. PAIN CENTER, MAYFIELD HTS., OH 44124
(216) 491-6314
(440) 312-8434
Mailing address
6803 MAYFIELD RD. #200, CCF HILLCREST HOSP. PAIN CENTER, MAYFIELD HTS., OH 44124
(216) 491-6314
(440) 312-8434

Taxonomy

Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
2945
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0425123
OH
Enumeration date
10/24/2006
Last updated
10/29/2013
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