Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 6762 | OH |
N | 103TH0004X | Health Psychologist | 6762 | OH |
NPI | 1073806139 |
---|---|
Provider Name | Katherine Lamparyk |
First Address | Cleveland, OH 44104-3815 |
Second Address | Cleveland, OH 44104-3815 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2011 |
Last Update Date | 24/05/2011 |