Stephen Imbornoni PHD

NPI 1710082631 - Psychologist - 103T00000X

NPI Details
NPI 1710082631
Gender Male
Enumeration Date 09/14/2006
Last Updated 07/20/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
23300 CHAGRIN BLVD
#202
BEACHWOOD OH, 44122-5557, US
Phone (216) 973-0565
Fax
Business Location
23300 CHAGRIN BLVD
#202
BEACHWOOD OH, 44122-5557, US
Phone (216) 973-0565
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Ohio
License Number 5196
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According to our database, Stephen Imbornoni PHD NPI is 1710082631, taxonomy code is 103T00000X and license number is 5196, license state is located at Ohio. Stephen Imbornoni PHD physically located at 23300 Chagrin Blvd, Beachwood OH, 44122-5557. NPI Number Stephen Imbornoni PHD has the Individual type.

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1710082631 NPI number is provided on an as is basis without warranty of any kind. 1710082631 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Imbornoni PHD are for informational purposes only.