Udelf, David James

Udelf, David James is an sole proprietor health care provider with primary practice located at 23360 Chagrin Blvd Suite 110, Beachwood OH 44122-5547. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Udelf, David James can be contacted via phone (216) 595-3175.

Contact Information

Primary practice address
23360 Chagrin Blvd Suite 110 Beachwood OH 44122-5547
Phone: (216) 595-3175
Fax: (216) 595-3178
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4149 Ohio
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 4149 Ohio

Profile Details

NPI number 1922149905
LBN Legal business name Udelf, David James
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2007
Last updated Jul 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922149905 NPPES
Ohio MEDICAID 0115806

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