| Samuel Richard Puccinelli, | |
|
6700 Beta Dr Ste 108, Mayfield, OH 44143-2335 | |
| (440) 460-0140 | |
| Not Available |
| Full Name | Samuel Richard Puccinelli |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 6700 Beta Dr Ste 108, Mayfield, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427842012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Richard Puccinelli, 19510 Lorain Rd Apt 105, Fairview Park, OH 44126-1900 Ph: (440) 341-4986 | Samuel Richard Puccinelli, 6700 Beta Dr Ste 108, Mayfield, OH 44143-2335 Ph: (440) 460-0140 |
Cara Annmarie Soltesz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6700 Beta Dr Ste 108, Mayfield, OH 44143 Phone: 440-460-0140 | |
Austin Hudak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6700 Beta Dr Ste 108, Mayfield, OH 44143 Phone: 440-460-0140 |