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NPI Code Detail

MEDICARE: MRS. CHRISTY SUGARMAN L.P.C.C., C.C.D.C.

MEDICARE: MRS. CHRISTY SUGARMAN L.P.C.C., C.C.D.C.
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
1101YM0800XMental Health CounselorE 0002797OH

General Provider Information

NPI Number : 1841239027
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTY SUGARMAN L.P.C.C., C.C.D.C.
Provider Business Mailing Address
First Line : 24800 HIGHPOINT RD
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-6041
Country : US
Telephone Number : 216-831-6611
Fax Number :
Provider Business Practice Location Address
First Line : 25111 COUNTRY CLUB BLVD
Second Line : SUITE 290
City : NORTH OLMSTED
State : OH
Zip : 44070-5345
Country : US
Telephone Number : 440-614-2520
Fax Number : 440-614-2526
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. CHRISTY SUGARMAN L.P.C.C., C.C.D.C.” Practice Location

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