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General NPI Number Information
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NPI Number | 1932267168
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Entity Type | Organization
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Legal Business Name | GREATER CLEVELAND PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 03/01/2010
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Provider Practice Location Address
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Address Line | 10900 PEARL RD SUITE C-3
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City | STRONGSVILLE
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State | OH
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Zip | 44136-3349
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Country | US
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Telephone | 440-263-7470
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Fax | 440-886-1555
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Provider Business Mailing Address
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Address Line | 10900 PEARL RD SUITE C-3
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City | STRONGSVILLE
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State | OH
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Zip | 44136-3349
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Country | US
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Telephone | 440-263-7470
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Fax | 440-886-1555
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THOMAS J. SEGGIO
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Credential | LISW
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Telephone | 440-263-7470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling 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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