Organization
UNIVERSITY PRIMARY CARE PRACTICES INC
Active
Other names
Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE RIDDLE (DIRECTOR OF BILLING SERVICES)
(216) 383-6480
Entity
Organization
Contact information
Practice address
8819 COMMONS BLVD # 101, TWINSBURG, OH 44087-2177
(330) 486-9616
(330) 486-9621
Mailing address
PO BOX 74511, CLEVELAND, OH 44194-4511
(330) 486-9619
(330) 486-9621
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6447
OH
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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