Healthcare Provider Details

I. General information

NPI: 1427733450
Provider Name (Legal Business Name): EMMA IRENE STUDER-PEREZ PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMMA IRENE STUDER

II. Dates (important events)

Enumeration Date: 06/19/2023
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10701 EAST BLVD
CLEVELAND OH
44106-1702
US

IV. Provider business mailing address

10701 EAST BLVD
CLEVELAND OH
44106-1702
US

V. Phone/Fax

Practice location:
  • Phone: 216-791-2300
  • Fax:
Mailing address:
  • Phone: 216-791-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberP.08914
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: