Individual
ALICIA CORNELL CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S, NCSP
Contact information
Practice address
6465 CURTISS CT, MENTOR, OH 44060-2473
(440) 974-2272
Mailing address
6465 CURTISS CT, MENTOR, OH 44060-2473
(440) 974-2272
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH3175611
OH
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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