Individual
DR. JACQUELINE JOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3642 AVALON RD, SHAKER HEIGHTS, OH 44120-5207
(216) 561-0190
(216) 321-3408
Mailing address
2628 EUCLID HEIGHTS BLVD, CLEVELAND HEIGHTS, OH 44106-2811
(216) 321-3408
(216) 321-3408
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
18845
CA
103T00000X
Psychologist
Primary
5838
OH
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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