Individual
FREDERICK JOHN DAMANKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2346 DEMINGTON DR, SUITE 2, CLEVELAND HEIGHTS, OH 44106-3618
(216) 932-2988
(216) 932-2988
Mailing address
2346 DEMINGTON DR, SUITE 2, CLEVELAND HEIGHTS, OH 44106-3618
(216) 932-2988
(216) 932-2988
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1126
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0258680
—
OH
Enumeration date
03/31/2008
Last updated
03/31/2008
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