Graduated: 1990
Offers telehealth
NPI: 1902810328
Practice Locations (5)
13610 BASS LAKE RD
CHARDON, OH 440248325
PO BOX, SUITE 202653
CLEVELAND, OH 441208127
21887 LORAIN RD, SUITE 226
FAIRVIEW PARK, OH 441263330
6133 ROCKSIDE RD, SUITE 207
INDEPENDENCE, OH 441312242
2163822929
3014 MANCHESTER RD
SHAKER HEIGHTS, OH 441222524
Source: CMS National Downloadable File, September 2026.