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NPI Code Detail

MEDICARE: MRS. CATHERINE KIEWEL NCSP

MEDICARE: MRS. CATHERINE KIEWEL NCSP
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
1103T00000XPsychologistOH1176120OH

General Provider Information

NPI Number : 1447663950
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CATHERINE KIEWEL NCSP
Provider Business Mailing Address
First Line : 2655 SHARON COPLEY RD
Second Line :
City : MEDINA
State : OH
Zip : 44256-9717
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 34600 BAINBRIDGE RD
Second Line :
City : NORTH RIDGEVILLE
State : OH
Zip : 44039-4073
Country : US
Telephone Number : 440-327-4083
Fax Number : 440-327-4056
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2014
Last Update Date : 06/03/2014

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Directions to “ MRS. CATHERINE KIEWEL NCSP” Practice Location

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