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NPI Code Detail

MEDICARE: THE HANNA PERKINS CENTER

MEDICARE: THE HANNA PERKINS CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist2831OH

General Provider Information

NPI Number : 1053410613
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE HANNA PERKINS CENTER
Provider Business Mailing Address
First Line : 19910 MALVERN RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-2823
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19910 MALVERN RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-2823
Country : US
Telephone Number : 216-929-0200
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DR. THOMAS BARRETT
Credential : PH.D.
Telephone Number : 216-929-0200
Provider Enumeration Date : 09/21/2006
Last Update Date : 08/22/2020

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Directions to “THE HANNA PERKINS CENTER ” Practice Location

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