Individual
NANCY DUFF-BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
26777 LORAIN RD, SUITE 716, NORTH OLMSTED, OH 44070-3200
(440) 777-9200
(440) 777-9288
Mailing address
26777 LORAIN RD, SUITE 716, NORTH OLMSTED, OH 44070-3200
(440) 777-9200
(440) 777-9288
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3637
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000293193
ANTHEM
OH
05
—
0238684
—
OH
01
—
680011568
RAILROAD MEDICARE
OH
Enumeration date
07/15/2006
Last updated
07/27/2012
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