Todd, Vickie L.

Todd, Vickie L. is an individual health care provider with primary practice located at 19910 Malvern Rd , Shaker Heights OH 44122-2823. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychoanalyst is her primary health care specialty. Todd, Vickie L. can be contacted via phone (216) 991-4472.

Contact Information

Primary practice address
19910 Malvern Rd Shaker Heights OH 44122-2823
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X I 0004174 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I 0004174 Ohio

Profile Details

NPI number 1245459049
LBN Legal business name Todd, Vickie L.
Credentials L.I.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245459049 NPPES
Ohio Other 000000361509 BCBS NUMBER

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