Individual
FRANK EZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
23811 CHAGRIN BLVD, SUITE 310, BEACHWOOD, OH 44122-5525
(216) 464-1277
(216) 464-9109
Mailing address
23811 CHAGRIN BLVD, SUITE 310, BEACHWOOD, OH 44122-5525
(216) 464-1277
(216) 464-9109
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3065
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000391242
ANTHEM BLUE CROSS PIN
OH
Enumeration date
05/09/2006
Last updated
11/28/2016
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