MRS. JACQUELINE MASSENGALE C.T. NPI 1306145537

NPI Information

MRS. Jacqueline Massengale, C.T. is a counselor in Shaker Heights, OH. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MRS. Jacqueline Massengale, C.T. NPI is 1306145537. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH
ZIP 44118-819
Phone: (216) 408-8049

The enumeration date for this NPI number is 3/28/2011 and was last updated on 3/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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