Organization
DBT OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L. LUZAR LISW-S (CO-OWNER)
(216) 973-9976
Entity
Organization
Contact information
Practice address
19910 MALVERN RD, SHAKER HEIGHTS, OH 44122-2823
(216) 973-9976
(216) 991-4472
Mailing address
19910 MALVERN RD, SHAKER HEIGHTS, OH 44122-2823
(216) 973-9976
(216) 991-4472
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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