Jude Chamberlain, Ph.D.
Psychologist, Clinical in Mentor, OH. Individual provider (NPI-1).
NPI number1669868006
StatusActive
Last updated in NPPESApr 13, 2015
Details
- NPI
- 1669868006
- Entity type
- Individual (NPI-1)
- Name
- Jude Chamberlain
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2015
- Last updated
- Apr 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 7289 | OH | Yes |
Practice location
8701 Mentor AveMentor, OH 44060-6103
Phone 440-266-0770 · Fax 440-266-0257
Mailing address
6509 Marsol RdApt 526
Mayfield Heights, OH 44124-3571
Phone 216-509-3003
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