Healthcare Provider Details

I. General information

NPI: 1952355612
Provider Name (Legal Business Name): VERONICA BINZLEY PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24100 CHAGRIN BLVD SUITE 400
BEACHWOOD OH
44122-5535
US

IV. Provider business mailing address

24100 CHAGRIN BLVD SUITE 400
BEACHWOOD OH
44122-5535
US

V. Phone/Fax

Practice location:
  • Phone: 216-831-1040
  • Fax: 216-831-2667
Mailing address:
  • Phone: 216-831-1040
  • Fax: 216-831-2667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1609
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: