Individual
DR. MARK MCCONVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
21403 CHAGRIN BLVD, SUITE 210, BEACHWOOD, OH 44122-5322
(216) 751-1007
(216) 751-7112
Mailing address
2841 BRIGHTON RD, SHAKER HEIGHTS, OH 44120-1718
(216) 283-5346
(216) 751-7112
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2379
OH
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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