Healthcare Provider Details

I. General information

NPI: 1609783125
Provider Name (Legal Business Name): ANNA OLCZYK PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10524 EUCLID AVE
CLEVELAND OH
44106-2205
US

IV. Provider business mailing address

2193 BELLFIELD AVE
CLEVELAND OH
44106-3123
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-3230
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberP.09025
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: