Individual
DR. JORETHIA L CHUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1588 E 40TH ST, CLEVELAND, OH 44103-2379
(216) 391-4970
Mailing address
1782 E 65TH ST, CLEVELAND, OH 44103-3920
(216) 978-0470
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5755
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2690299
—
OH
Enumeration date
04/25/2007
Last updated
07/08/2007
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