MEDICARE: ORGANIZATION FOR PSYCHOLOGICAL HEALTH INC

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
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1164547410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORGANIZATION FOR PSYCHOLOGICAL HEALTH INC

Provider Business Mailing Address
First Line	:	34305 SOLON RD
Second Line	:	SUITE 52
City	:	SOLON
State	:	OH
Zip	:	44139-2660
Country	:	US
Telephone Number	:	440-349-3038
Fax Number	:	440-349-3081

Provider Business Practice Location Address
First Line	:	34305 SOLON RD
Second Line	:	SUITE 52
City	:	SOLON
State	:	OH
Zip	:	44139-2660
Country	:	US
Telephone Number	:	440-349-3038
Fax Number	:	440-349-3081

Authorized Official
Title or Position	:	OWNER
Name	:	LINDA K MCGRAW
Credential	:	PHD
Telephone Number	:	440-349-3038

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	02/26/2010

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