Doctor Name: | AMIR M POREH |
NPI Number: | 1306055322 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 6082 |
Business Practice Address: | 11100 Euclid Ave Cleveland, OH - 441061716 |
Business Phone Number: | 2168442400 |
Business Fax Number: | 2168445883 |
Mailing Address: | 24701 Euclid Ave, 3rd Floor EUCLID |
State: | OH |
Postal Code: | 441171714 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 07/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 6082 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |