Healthcare Provider Details

I. General information

NPI: 1437053436
Provider Name (Legal Business Name): DANIEL MORATT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22555 TRACY AVE
EUCLID OH
44123-3275
US

IV. Provider business mailing address

651 E 222ND ST
EUCLID OH
44123-2100
US

V. Phone/Fax

Practice location:
  • Phone: 216-797-5354
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLSP.00858
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: