Organization
ADVANCED THERAPY CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LOVINGER PH.D. (PRESIDENT)
(216) 464-1277
Entity
Organization
Contact information
Practice address
2000 AUBURN DR, SUITE 200, BEACHWOOD, OH 44122
(216) 378-7633
(216) 378-7634
Mailing address
2000 AUBURN DR, SUITE 200, BEACHWOOD, OH 44122-4314
(216) 378-7633
(216) 378-7634
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
08/20/2006
Last updated
01/06/2011
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