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DR. JAMES L MACK PH.D.

Clinical Neuropsychologist

Cleveland, Ohio

Provider NPI: 1659456903

Provider Information:
DR. JAMES L MACK PH.D.
Gender: M
Not Sole Proprietor

Practice Location:
11100 EUCLID AVE  CLEVELAND, OH 44106 US
Tel: 216-844-2400  Fax: --

Business Mailing Address:
11100 EUCLID AVE HAN 5040 CLEVELAND, OH 44106 US
Tel: 216-844-3188  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
OH1228

Other Provider Identifiers:

IssuerNumberStateType
0254004OH05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS OH - Page 1



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