Individual
JUDE CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8701 MENTOR AVE, MENTOR, OH 44060-6103
(440) 266-0770
(440) 266-0257
Mailing address
6509 MARSOL RD, APT 526, MAYFIELD HEIGHTS, OH 44124-3571
(216) 509-3003
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7289
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7289
LICENSE NUMBER
OH
Enumeration date
04/13/2015
Last updated
04/13/2015
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