Waltman Psychological Services Llc

LBN: Waltman Psychological Services Llc
Waltman Psychological Services Llc is an health care organization with primary practice located at 3401 Enterprise Pkwy Ste 340 , Beachwood OH 44122-7340. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Waltman Psychological Services Llc can be contacted via phone (216) 766-5730, or through Waltman, Douglas via phone (216) 766-5730.

Contact Information

Primary practice address
3401 Enterprise Pkwy Ste 340 Beachwood OH 44122-7340
Phone: (216) 766-5730
Fax: (216) 766-5796
Website:
Map and Directions
Authorized official contact:
Name: Waltman, Douglas PH.D., LICDC-CS
Phone: (216) 766-5730

Health care specialties

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

Profile Details

NPI number 1669008249
LBN Legal business name Waltman Psychological Services Llc
DBA Doing business as
Authorized official Waltman, Douglas PH.D., LICDC-CS
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2020
Last updated Mar 16th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669008249 NPPES
Ohio MEDICAID 0615650

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