Organization
RORK CHILD PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINE RORK PH.D. (CLINICAL PSYCHOLOGIST)
(216) 973-4588
Entity
Organization
Contact information
Practice address
3690 ORANGE PL STE 170, BEACHWOOD, OH 44122-4465
(216) 973-4588
Mailing address
3690 ORANGE PL STE 170, BEACHWOOD, OH 44122-4465
(216) 973-4588
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6641
OH
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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