| Dr Elizabeth Blair Wyatt, PHD | |
| 
					8039 Broadmoor Rd, #15, Mentor, OH 44060  | |
| (440) 269-1500 | |
| (440) 269-8545 | 
| Full Name | Dr Elizabeth Blair Wyatt | 
|---|---|
| Gender | Female | 
| Speciality | Psychologist - Clinical | 
| Location | 8039 Broadmoor Rd, Mentor, Ohio | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1285744276 | NPI | - | NPPES | 
| 2065732 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4508 (Ohio) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Elizabeth Blair Wyatt, PHD 8039 Broadmoor Rd, #15, Mentor, OH 44060 Ph: (440) 269-1500  | Dr Elizabeth Blair Wyatt, PHD 8039 Broadmoor Rd, #15, Mentor, OH 44060 Ph: (440) 269-1500  | 
Mrs. Maureen Ray, M.A.ED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6451 Center St, Mentor, OH 44060 Phone: 440-974-5241  | |
Emily Katherine Latessa, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6451 Center St, Mentor, OH 44060 Phone: 440-974-5241  | |
Christina Riddell, M.A., ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6477 Center St, Mentor, OH 44060 Phone: 440-974-5438  | |
Dr. Douglas Waltman, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9002 Mentor Ave, Mentor, OH 44060 Phone: 440-205-1008 Fax: 440-205-1047  | |
Erin Kay Kotkowski, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8224 Mentor Ave Ste 208, Mentor, OH 44060 Phone: 440-392-2222 Fax: 440-565-2349  | |
Mrs. Kelly Light, ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6451 Center St, Mentor, OH 44060 Phone: 440-974-5241  |