Divincenzo, Paul John
Divincenzo, Paul John is an sole proprietor health care provider with primary practice located at 5311 Northfield Rd , Bedford Hts OH 44146-1135. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Divincenzo, Paul John can be contacted via phone (216) 518-3900.Contact Information
Primary practice address
5311 Northfield Rd
Bedford Hts OH 44146-1135
Phone: (216) 518-3900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3923 | Ohio |
Profile Details
| NPI number | 1386740439 |
|---|---|
| LBN Legal business name | Divincenzo, Paul John |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386740439 | NPPES |
| Ohio | MEDICAID | 0443756 |
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