Alicia Cornell Cornell, Ed.S, NCSP
Psychologist, School in Mentor, OH. Individual provider (NPI-1).
NPI number1730582628
StatusActive
Last updated in NPPESOct 6, 2014
Details
- NPI
- 1730582628
- Entity type
- Individual (NPI-1)
- Name
- Alicia Cornell Cornell
- Credential
- Ed.S, NCSP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2014
- Last updated
- Oct 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | OH3175611 | OH | Yes |
Practice location
6465 Curtiss CtMentor, OH 44060-2473
Phone 440-974-2272
Mailing address
6465 Curtiss CtMentor, OH 44060-2473
Phone 440-974-2272
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