| Organization Name: | CENTER FOR CLINICAL PSYCHOLOGY INC |
| NPI Number: | 1588069975 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS EVANS (PSYCHOLOGIST) |
| Mailing Address: | 35590 Center Ridge Rd # 105 North Ridgeville |
| State: | OH US |
| Postal Code: | 440396000 |
| Phone Number: | 4402630266 |
| Fax Number: | 4403482362 |
| NPI Enumeration Date: | 10/28/2014 |
| NPI Last Update Date: | 12/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 5051 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |