36D2092141 CLIA NUMBER - PSYCH SERVICES

Laboratory Demographics

CLIA Number: 36D2092141

Facility Name: PSYCH SERVICES

Facility Address:
26777 LORAIN ROAD, SUITE 716
NORTH OLMSTED, OH
ZIP 44070
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Facility Phone Number: 440 777-9200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1144396011

Taxonomy: 103TC0700X - Psychologist
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.

CLIA Record

Field Name Field Value
CLIA Number 36D2092141
LAB Type Physician Office
Facility Name PSYCH SERVICES
Street 26777 LORAIN ROAD, SUITE 716
City NORTH OLMSTED
State OH
ZIP 44070
Phone 440 777-9200
CertificateType 4
CertificateEffectiveDate 2/26/2023
CertificateExpirationDate 2/25/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024