Healthcare Provider Details

I. General information

NPI: 1821106600
Provider Name (Legal Business Name): JOEL ROBERT GECHT PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23240 CHAGRIN BLVD SUITE 500
BEACHWOOD OH
44122-5404
US

IV. Provider business mailing address

23240 CHAGRIN BLVD SUITE 500
BEACHWOOD OH
44122-5404
US

V. Phone/Fax

Practice location:
  • Phone: 216-292-6007
  • Fax: 216-292-7352
Mailing address:
  • Phone: 216-292-6007
  • Fax: 216-292-7352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number3294
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number1650
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: