| Dr Deborah A Koricke, PHD | |
|
20800 Westgate Professional Center, Suite 200, Fairview Park, OH 44126 | |
| (440) 333-4949 | |
| (440) 333-5044 |
| Full Name | Dr Deborah A Koricke |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 43 Years |
| Location | 20800 Westgate Professional Center, Fairview Park, Ohio |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598779092 | NPI | - | NPPES |
| 0704250 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3304 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Center For Effective Living | 9638203318 | 3 |
| Entity Name | Psychology Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205882941 PECOS PAC ID: 2163310475 Enrollment ID: O20040309000096 |
| Entity Name | Center For Effective Living |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790781102 PECOS PAC ID: 9638203318 Enrollment ID: O20110603000304 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Deborah A Koricke, PHD 20800 Westgate Professional Center, Suite 200, Fairview Park, OH 44126 Ph: (440) 333-4949 | Dr Deborah A Koricke, PHD 20800 Westgate Professional Center, Suite 200, Fairview Park, OH 44126 Ph: (440) 333-4949 |
Christine Masulovich, EDS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4507 W 213th St, Fairview Park, OH 44126 Phone: 330-356-3500 | |
Deborah Staelens Rosch Eifert, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 22540 Lorain Rd, Fairview Park, OH 44126 Phone: 440-734-4037 Fax: 440-734-4710 | |
Mrs. Megan Wellman, M.A., PSY.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4320 W 220th St, Fairview Park, OH 44126 Phone: 440-356-3525 | |
Suzanne Lesure, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4475 Valley Forge Dr, Fairview Park, OH 44126 Phone: 330-418-7887 Fax: 330-776-5557 | |
Dr. Jonah Lakin, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19220 Lorain Rd Ste 203, Fairview Park, OH 44126 Phone: 216-393-7749 | |
Miss Rachel Martin, PSY. S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20800 Westgate Professional Center #200,, Fairview Park, OH 44126 Phone: 440-333-4949 |