MEDICARE: NANCY DUFF-BOEHM, PHD & ASSSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1245386036
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NANCY DUFF-BOEHM, PHD & ASSSOCIATES LLC

Provider Business Mailing Address
First Line	:	26777 LORAIN RD STE 716
Second Line	:
City	:	NORTH OLMSTED
State	:	OH
Zip	:	44070-3221
Country	:	US
Telephone Number	:	440-777-9200
Fax Number	:	440-777-9288

Provider Business Practice Location Address
First Line	:	26777 LORAIN RD STE 716
Second Line	:
City	:	NORTH OLMSTED
State	:	OH
Zip	:	44070-3221
Country	:	US
Telephone Number	:	440-777-9200
Fax Number	:	440-777-9288

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	NANCY J DUFF-BOEHM
Credential	:
Telephone Number	:	216-464-5700

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	11/20/2023

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