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NPI Code Detail

MEDICARE: DR. CAROL S. COLBERT PH.D.

MEDICARE:  DR. CAROL S. COLBERT  PH.D.
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
1174400000XSpecialist1227OH

General Provider Information

NPI Number : 1184627853
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROL S. COLBERT PH.D.
Provider Business Mailing Address
First Line : 6009 LANDERHAVEN DR
Second Line : STE F
City : MAYFIELD HEIGHTS
State : OH
Zip : 44124-4192
Country : US
Telephone Number : 440-461-1010
Fax Number : 440-542-9986
Provider Business Practice Location Address
First Line : 6009 LANDERHAVEN DR
Second Line : STE F
City : MAYFIELD HEIGHTS
State : OH
Zip : 44124-4192
Country : US
Telephone Number : 440-461-1010
Fax Number : 440-542-9986
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/08/2007

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Directions to “ DR. CAROL S. COLBERT PH.D.” Practice Location

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