| Crooked River Psychology Associates Inc. | |
|
375 Harbor Ct Avon Lake OH 44012-2489 | |
| (216) 346-3794 | |
| Not Available |
| Full Name | Crooked River Psychology Associates Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 375 Harbor Ct, Avon Lake, Ohio |
| Authorized Official Name and Position | Michelle Ogilvie Hils (OWNER) |
| Authorized Official Contact | 2163463794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crooked River Psychology Associates Inc. Po Box 750834 Forest Hills NY 11375-0834 Ph: (718) 268-6600 | Crooked River Psychology Associates Inc. 375 Harbor Ct Avon Lake OH 44012-2489 Ph: (216) 346-3794 |
| NPI Number | 1083004741 |
|---|---|
| Provider Enumeration Date | 02/02/2015 |
| Last Update Date | 02/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083004741 | NPI | - | NPPES |
| 5259 | Other | OH | PROFESSIONAL PSYCHOLOGY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 5259 (Ohio) | Primary |
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