Individual
DR. DAVID JAMES UDELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
23360 CHAGRIN BLVD, SUITE 110, BEACHWOOD, OH 44122-5547
(216) 595-3175
(216) 595-3178
Mailing address
23360 CHAGRIN BLVD, SUITE 110, BEACHWOOD, OH 44122-5547
(216) 595-3175
(216) 595-3178
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4149
OH
103TC2200X
Clinical Child & Adolescent Psychologist
4149
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115806
—
OH
Enumeration date
02/10/2007
Last updated
07/16/2011
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