Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 6185 | OH |
NPI | 1124123013 |
---|---|
Provider Name | Marjorie Lee Hoelker |
First Address | Rocky River, OH 44116-3572 |
Second Address | Rocky River, OH 44116-3572 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 12/06/2008 |