Individual
TOBY BOURISSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
10524 EUCLID AVE STE 1155A, CLEVELAND, OH 44106-2205
(216) 844-3881
Mailing address
10524 EUCLID AVE STE 1155A, CLEVELAND, OH 44106-2205
(216) 844-3881
Taxonomy
Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
08218
OH
Other
Enumeration date
04/06/2007
Last updated
12/24/2020
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