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DR. JILL HELENE MUSHKAT CONOMY PH.D.

Health Service

Mayfield Hts., Ohio

Provider NPI: 1629152954

Provider Information:
DR. JILL HELENE MUSHKAT CONOMY PH.D.
Gender: F
Not Sole Proprietor

Practice Location:
6803 MAYFIELD RD. #200 CCHSEAST HILLCREST HOSP. PAIN CENTER MAYFIELD HTS., OH 44124 US
Tel: 216-491-6314  Fax: 440-312-8434

Business Mailing Address:
6803 MAYFIELD RD. #200 CCF HILLCREST HOSP. PAIN CENTER MAYFIELD HTS., OH 44124 US
Tel: 216-491-6314  Fax: 440-312-8434

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TH0100XBehavioral Health & Social Service Providers
Psychologist
Health Service
OH2945

Other Provider Identifiers:

IssuerNumberStateType
0425123OH05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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