Doctor Name: | DR. CLARE ANNE GIDEON |
NPI Number: | 1093906752 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | |
Business Practice Address: | 5844 Lotusdale Dr Parma Heights, OH - 441302105 |
Business Phone Number: | 4408422135 |
Business Fax Number: | |
Mailing Address: | 5844 Lotusdale Dr, PARMA HEIGHTS |
State: | OH |
Postal Code: | 441302105 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/07/2007 |
NPI Last Update Date: | 08/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Adult Development & Aging |
Taxonomy Definition: |