| Cuyahoga Valley Psychological Llc | |
|
4833 Darrow Rd Ste 100 Stow OH 44224-1411 | |
| (330) 422-3255 | |
| (330) 422-3256 |
| Full Name | Cuyahoga Valley Psychological Llc |
|---|---|
| Speciality | Psychologist |
| Location | 4833 Darrow Rd Ste 100, Stow, Ohio |
| Authorized Official Name and Position | Diane Moran (PRESIDENT) |
| Authorized Official Contact | 3304223255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cuyahoga Valley Psychological Llc 4833 Darrow Rd Ste 100 Stow OH 44224-1411 Ph: (330) 422-3255 | Cuyahoga Valley Psychological Llc 4833 Darrow Rd Ste 100 Stow OH 44224-1411 Ph: (330) 422-3255 |
| NPI Number | 1639809692 |
|---|---|
| Provider Enumeration Date | 06/13/2022 |
| Last Update Date | 06/13/2022 |
| Certification Date | 06/13/2022 |
| Medicare PECOS PAC ID | 3274917778 |
|---|---|
| Medicare Enrollment ID | O20220901001620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639809692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Diane M Moran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942398250 PECOS PAC ID: 7012182785 Enrollment ID: I20111207000603 |
| Provider Name | Lori M Wills |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043308349 PECOS PAC ID: 1759542434 Enrollment ID: I20120406000122 |
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