Organization
LAKEFRONT PSYCHOLOGY
Active
Organization
LAKEFRONT PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE JEAN SMITH PH.D. (CLINICAL PSYCHOLOGIST/OWNER)
(216) 870-9816
Entity
Organization
Contact information
Practice address
1991 CROCKER RD STE 604, WESTLAKE, OH 44145-6969
(216) 870-9816
Mailing address
31729 TRADEWINDS DR, AVON LAKE, OH 44012-2916
(216) 870-9814
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
6103
OH
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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