Healthcare Provider Details

I. General information

NPI: 1447288386
Provider Name (Legal Business Name): HOWARD E MORRETTE PH.D., L.P.C.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2490 LEE BLVD #204
CLEVELAND OH
44118-1269
US

IV. Provider business mailing address

7384 MYRNA BLVD
KENT OH
44240-6318
US

V. Phone/Fax

Practice location:
  • Phone: 216-321-3611
  • Fax: 216-321-0021
Mailing address:
  • Phone: 216-321-3611
  • Fax: 216-321-0021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberE-0000695
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: