Healthcare Provider Details

I. General information

NPI: 1982308284
Provider Name (Legal Business Name): SARAH M. GHOSE PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 11/16/2025
Certification Date: 11/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

9500 EUCLID AVE
CLEVELAND OH
44195
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-5812
  • Fax:
Mailing address:
  • Phone: 216-444-5812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License NumberP.08824
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: