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LAKEFRONT PSYCHOLOGY NPI 1740790252


NPI Information

NPI: 1740790252
Provider Name: LAKEFRONT PSYCHOLOGY
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1991 CROCKER RD STE 604
WESTLAKE, OH
ZIP 44145
Phone: (216) 870-9816
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LAKEFRONT PSYCHOLOGY is an adult mental health clinic center in Westlake, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LAKEFRONT PSYCHOLOGY NPI is 1740790252. The provider is registered as an organization entity type.

The provider's business location address is:

1991 CROCKER RD STE 604
WESTLAKE, OH
ZIP 44145-969
Phone: (216) 870-9816

The provider's authorized official is Suzanne Jean Smith .
The authorized official title is Clinical Psychologist/owner and has the following contact phone number (216) 870-9816.

The enumeration date for this NPI number is 10/10/2017 and was last updated on 10/10/2017.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental Health6103OHIOYes

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: 5/5/2024

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