Organization Name: | SPECTRUM PSYCHOLOGICAL ASSOCIATES, INC |
NPI Number: | 1346298734 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNA GROSSMAN-MCKEE (PRESIDENT) |
Mailing Address: | 6700 Beta Dr Suite 301 Mayfield Village |
State: | OH US |
Postal Code: | 441432363 |
Phone Number: | 4404469696 |
Fax Number: | 4404491435 |
NPI Enumeration Date: | 05/05/2006 |
NPI Last Update Date: | 09/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |