| Organization Name: | PSYCH SERVICES INC |
| NPI Number: | 1144396011 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NANCY J DUFF-BOEHM (CLINICAL DIRECTOR) |
| Mailing Address: | 26777 Lorain Rd Suite 716 North Olmsted |
| State: | OH US |
| Postal Code: | 440703200 |
| Phone Number: | 4407779200 |
| Fax Number: | 4407779288 |
| NPI Enumeration Date: | 11/24/2006 |
| NPI Last Update Date: | 10/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0700X |
| License Number: | 3637 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Adult Development & Aging |
| Taxonomy Definition: | |