| Doctor Name: | CAROLYN STOOPS |
| NPI Number: | 1386067106 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY. S, |
| License Number: | OH3083811 |
| Business Practice Address: | 37047 Ridge Rd Willoughby, OH - 440944130 |
| Business Phone Number: | 4409465000 |
| Business Fax Number: | 4409464671 |
| Mailing Address: | 37047 Ridge Rd, WILLOUGHBY |
| State: | OH |
| Postal Code: | 440944130 |
| Phone Number: | 4409465000 |
| Fax Number: | 4409464671 |
| NPI Enumeration Date: | 01/30/2014 |
| NPI Last Update Date: | 08/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | OH3083811 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |