Doctor Name: | MARJORIE LEE HOELKER |
NPI Number: | 1124123013 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 6185 |
Business Practice Address: | 20325 Center Ridge Rd #628 Rocky River, OH - 441163572 |
Business Phone Number: | 4403315570 |
Business Fax Number: | 4403313221 |
Mailing Address: | 20325 Center Ridge Rd, #628 ROCKY RIVER |
State: | OH |
Postal Code: | 441163572 |
Phone Number: | 4403315570 |
Fax Number: | 4403313221 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 06/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | 6185 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |