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NPI Code Detail

MEDICARE: KENT EMERY ROZEL PHD

MEDICARE: KENT EMERY ROZEL PHD
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
1103TC0700XClinical Psychologist3669OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2680014706OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000295650OTHEROHANTHEM
371209OTHEROHQUALCHOICE
4080210000OTHEROHMAGELLAN
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821179805
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENT EMERY ROZEL PHD
Provider Business Mailing Address
First Line : 8340 KINSMAN RD
Second Line :
City : NOVELTY
State : OH
Zip : 44072-9577
Country : US
Telephone Number : 216-291-1845
Fax Number : 440-510-5151
Provider Business Practice Location Address
First Line : 2000 AUBURN DR STE 200
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-4328
Country : US
Telephone Number : 216-291-1845
Fax Number : 440-510-5151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 12/20/2019

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Directions to “ KENT EMERY ROZEL PHD” Practice Location

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