Organization
BEACH GLASS PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN MARIE YEZZI-SHAREEF PHD (PSYCHOLOGIST)
(440) 570-5458
Entity
Organization
Contact information
Practice address
37000 CENTER RIDGE ROAD, SUITE 3 LOWER LEVEL, NORTH RIDGEVILLE, OH 44039-2804
(440) 570-5458
(440) 628-2422
Mailing address
36144 CENTER RIDGE RD, NORTH RIDGEVILLE, OH 44039-2938
(440) 570-5458
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0247177
—
OH
Enumeration date
07/23/2019
Last updated
02/23/2021
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