Individual
DR. JAMIE B. LICHSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
24100 CHAGRIN BLVD, SUITE 400, BEACHWOOD, OH 44122-5535
(216) 831-1040
(216) 831-2667
Mailing address
25700 SCIENCE PARK DRIVE, SUITE 200, LANDMARK CENTRE., BEACHWOOD, OH 44122-5535
(216) 831-1040
(216) 831-2667
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5968
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1525589732001
MEDICAL MUTUAL
OH
Enumeration date
01/16/2007
Last updated
11/09/2016
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