Individual
KATHRINE L JOSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-7700
(216) 844-7601
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
6382
OH
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225212
UNISON
OH
01
—
000000538209
ANTHEM
OH
05
—
2771040
—
OH
01
—
421805
WELLCARE
OH
01
—
9262092
AETNA
OH
Enumeration date
08/06/2007
Last updated
07/06/2011
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