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DEBORAH KORICKE PHD AND ASSOCIATES LLC NPI 1548400583


NPI Information

NPI: 1548400583
Provider Name: DEBORAH KORICKE, PHD AND ASSOCIATES, LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
20800 CENTER RIDGE RD STE 105
ROCKY RIVER, OH
ZIP 44116
Phone: (440) 333-4949
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DEBORAH KORICKE, PHD AND ASSOCIATES, LLC is a clinical psychologist in Rocky River, OH. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DEBORAH KORICKE, PHD AND ASSOCIATES, LLC NPI is 1548400583. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

20800 CENTER RIDGE RD STE 105
ROCKY RIVER, OH
ZIP 44116-314
Phone: (440) 333-4949
Fax: (440) 333-5044

The provider's authorized official is Deborah Koricke .
The authorized official title is Owner and has the following contact phone number (440) 333-4949.

The enumeration date for this NPI number is 3/4/2009 and was last updated on 3/4/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalE0001805OHIONo
2103TC0700XPsychologistClinical3304OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CP02641MEDICARE UPINOHIO
20704250MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.