| Paul J Divincenzo Ph.d | |
| 
					5311 Northfield Rd Bedford Hts OH 44146-1135  | |
| (216) 518-3900 | |
| Not Available | 
| Full Name | Paul J Divincenzo Ph.d | 
|---|---|
| Speciality | Psychologist | 
| Location | 5311 Northfield Rd, Bedford Hts, Ohio | 
| Authorized Official Name and Position | Paul John Divincenzo (PRESIDENT) | 
| Authorized Official Contact | 2165183900 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Paul J Divincenzo Ph.d 5311 Northfield Rd Bedford Hts OH 44146-1135 Ph: () -  | Paul J Divincenzo Ph.d 5311 Northfield Rd Bedford Hts OH 44146-1135 Ph: (216) 518-3900  | 
| NPI Number | 1942358148 | 
|---|---|
| Provider Enumeration Date | 01/07/2007 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942358148 | NPI | - | NPPES | 
| 3923 | Other | OH | UNITED HEALTH CARE | 
| 000000141048 | Other | OH | ANTHEM | 
| 0443756 | Medicaid | OH | |
| 3923 | Other | OH | KAISER | 
| 3923 | Other | OH | EMERALD HEALTH | 
| 4073101 | Other | OH | AETNA | 
| 3923 | Other | OH | TRI CARE | 
| 3923 | Other | OH | VALUE OPTION | 
| 288460455007 | Other | OH | MEDICAL MUTUAL | 
| 3923 | Other | OH | MBHS | 
| 3923 | Other | OH | COMPSYCH | 
| 3923 | Other | OH | CIGNA | 
| 3923 | Other | OH | UNITED BEHAVIORAL HEALTH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103T00000X | Psychologist | 3923 (Ohio) | Primary | 
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