Organization
WALTMAN PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS WALTMAN PH.D., LICDC-CS (OWNER)
(216) 766-5730
Entity
Organization
Contact information
Practice address
3401 ENTERPRISE PKWY STE 340, BEACHWOOD, OH 44122-7340
(216) 766-5730
(216) 766-5796
Mailing address
3401 ENTERPRISE PKWY STE 340, BEACHWOOD, OH 44122-7340
(216) 766-5730
(216) 766-5796
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0615650
—
OH
Enumeration date
03/16/2020
Last updated
03/16/2020
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