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General NPI Number Information
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NPI Number | 1699475061
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Entity Type | Organization
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Legal Business Name | CLEVELAND CENTER FOR COGNITIVE THERAPY, LLC
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 24400 HIGHPOINT RD STE 9
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City | BEACHWOOD
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State | OH
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Zip | 44122-6027
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Country | US
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Telephone | 216-831-2500
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Fax | 216-831-4035
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Provider Business Mailing Address
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Address Line | 3586 MEADOWBROOK BLVD
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44118-3670
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Country | US
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Telephone | 847-471-8292
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. ASHLEY BRAUN-GABELMAN
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Credential | PHD
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Telephone | 847-471-8292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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