Healthcare Provider Details

I. General information

NPI: 1386698595
Provider Name (Legal Business Name): MATTHEW JOSEPH HILFER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 07/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29525 CHAGRIN BLVD SUITE 308
PEPPER PIKE OH
44122
US

IV. Provider business mailing address

29525 CHAGRIN BLVD SUITE 308
PEPPER PIKE OH
44122
US

V. Phone/Fax

Practice location:
  • Phone: 440-223-3893
  • Fax: 216-464-5593
Mailing address:
  • Phone: 440-223-3893
  • Fax: 216-464-5593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5730
License Number StateOH

VIII. Authorized Official

Name: DR. MATTHEW JOSEPH HILFER
Title or Position: CLINICAL DIRECTOR/OWNER
Credential: PHD
Phone: 440-223-3893