Koricke, Deborah A

Koricke, Deborah A is an individual health care provider with primary practice located at 20800 Westgate Professional Center Suite 200, Fairview Park OH 44126. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Koricke, Deborah A can be contacted via phone (440) 333-4949.

Contact Information

Primary practice address
20800 Westgate Professional Center Suite 200 Fairview Park OH 44126
Phone: (440) 333-4949
Fax: (440) 333-5044
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3304 Ohio

Profile Details

NPI number 1598779092
LBN Legal business name Koricke, Deborah A
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jan 26th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598779092 NPPES
Ohio MEDICAID 0704250

Popular Providers