Organization Name: | NANCY DUFF-BOEHM, PH.D., & ASSOCIATES, LLC |
NPI Number: | 1013998814 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY J DUFF-BOEHM (OWNER) |
Mailing Address: | 26777 Lorain Rd Suite 716 North Olmsted |
State: | OH US |
Postal Code: | 440703200 |
Phone Number: | 4407779200 |
Fax Number: | 4407779288 |
NPI Enumeration Date: | 11/08/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 3637 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |