Individual
DR. JASON RIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4807 ROCKSIDE RD STE 400, INDEPENDENCE, OH 44131-2159
(216) 642-8283
(216) 937-0187
Mailing address
7926 OAKRIDGE DR, MENTOR, OH 44060-7276
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TA0700X
Adult Development & Aging Psychologist
7191
OH
103TB0200X
Cognitive & Behavioral Psychologist
7191
OH
103TC0700X
Clinical Psychologist
7191
OH
103TC1900X
Counseling Psychologist
7191
OH
103TC2200X
Clinical Child & Adolescent Psychologist
7191
OH
103TE1100X
Exercise & Sports Psychologist
7191
OH
103TF0000X
Family Psychologist
7191
OH
103TF0200X
Forensic Psychologist
7191
OH
103TH0004X
Health Psychologist
7191
OH
103TH0100X
Health Service Psychologist
7191
OH
Other
Enumeration date
09/02/2014
Last updated
04/11/2019
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