Organization
CORNERSTONE PSYCHOLOGICAL SERVICSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VELMA ROTHEL (OFFICE MANAGER)
(330) 722-4166
Entity
Organization
Contact information
Practice address
221 W LIBERTY ST, MEDINA, OH 44256-2217
(330) 722-4166
(330) 725-5792
Mailing address
221 W LIBERTY ST, MEDINA, OH 44256-2217
(330) 722-4166
(330) 725-5792
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0787420
—
OH
Enumeration date
05/07/2007
Last updated
08/22/2020
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