| Melvin Painter, Ph.d., Inc. | |
|
14701 Detroit Ave Suite 258 Lakewood OH 44107-4115 | |
| (216) 226-4610 | |
| (216) 226-4720 |
| Full Name | Melvin Painter, Ph.d., Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 14701 Detroit Ave, Lakewood, Ohio |
| Authorized Official Name and Position | Melvin Painter (PRESIDENT/PSYCHOLOGIST) |
| Authorized Official Contact | 2162264610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melvin Painter, Ph.d., Inc. 14701 Detroit Ave Suite 258 Lakewood OH 44107-4115 Ph: (216) 226-4610 | Melvin Painter, Ph.d., Inc. 14701 Detroit Ave Suite 258 Lakewood OH 44107-4115 Ph: (216) 226-4610 |
| NPI Number | 1578896387 |
|---|---|
| Provider Enumeration Date | 09/10/2009 |
| Last Update Date | 09/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578896387 | NPI | - | NPPES |
| 0512190 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 3040 (Ohio) | Primary |
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