| Beach Glass Psychology Llc | |
|
37000 Center Ridge Road Suite 3 Lower Level North Ridgeville OH 44039-2804 | |
| (440) 570-5458 | |
| (440) 628-2422 |
| Full Name | Beach Glass Psychology Llc |
|---|---|
| Speciality | Psychologist |
| Location | 37000 Center Ridge Road, North Ridgeville, Ohio |
| Authorized Official Name and Position | Ann Marie Yezzi-shareef (PSYCHOLOGIST) |
| Authorized Official Contact | 4405705458 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beach Glass Psychology Llc 36144 Center Ridge Rd North Ridgeville OH 44039-2938 Ph: (440) 570-5458 | Beach Glass Psychology Llc 37000 Center Ridge Road Suite 3 Lower Level North Ridgeville OH 44039-2804 Ph: (440) 570-5458 |
| NPI Number | 1891348405 |
|---|---|
| Provider Enumeration Date | 07/23/2019 |
| Last Update Date | 02/23/2021 |
| Certification Date | 02/23/2021 |
| Medicare PECOS PAC ID | 1850620436 |
|---|---|
| Medicare Enrollment ID | O20190906001870 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891348405 | NPI | - | NPPES |
| 0247177 | Medicaid | OH |
| Provider Name | Ann Marie Yezzi-shareef |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336172584 PECOS PAC ID: 2860661089 Enrollment ID: I20150128001622 |
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