| Organization Name: | OHIO GERIATRIC PSYCHOLOGICAL SERVICES INC |
| NPI Number: | 1023352028 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY V SCHAFFER (PSYCHOLOGIST) |
| Mailing Address: | 6817 Kirkwood Dr Mentor |
| State: | OH US |
| Postal Code: | 440604205 |
| Phone Number: | 4402090561 |
| Fax Number: | |
| NPI Enumeration Date: | 11/15/2012 |
| NPI Last Update Date: | 01/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 5034 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |