Deborah A Koricke (NPI# 1598779092, PAC ID# 2961557095) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1598779092 |
| PAC ID by PECOS | 2961557095 |
| Professional Enrollment ID | I20090826000100 |
| Full Name | Deborah A Koricke |
| Organization Legal Name | CENTER FOR EFFECTIVE LIVING |
| Address |
20800 Westgate Professional Bldg Suite 200 Fairview Park OH 44126 |
| Phone Number | 4403334949 |
| Gender | F |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 9638203318 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 20800 Westgate Professional Bldg, Suite 200, Fairview Park, OH 44126 | 4403334949 | CENTER FOR EFFECTIVE LIVING |
| Organization Legal Name | CENTER FOR EFFECTIVE LIVING |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael B Leach | Psychologist, Clinical | Center for Effective Living | 20800 Westgate Professional Bldg, Suite 200, Fairview Park, OH 44126 |
| Street Address |
20800 WESTGATE PROFESSIONAL BLDG SUITE 200 |
| City | FAIRVIEW PARK |
| State | OH |
| Zip | 44126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael B Leach | Psychologist, Clinical | Center for Effective Living | 20800 Westgate Professional Bldg, Suite 200, Fairview Park, OH 44126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ami Patel | Optometry | Westgate Optometry LLC | 3580 Westgate, Fairview Park, OH 44126-1300 |
| Richard E Hults | Optometry | Westgate Optometry LLC | 3580 Westgate, Fairview Park, OH 44126-1300 |
| Paige A Knapp | Optometry | Westgate Optometry LLC | 3580 Westgate, Fairview Park, OH 44126-1300 |
| Bernadette Sipple | Optometry | Westgate Optometry LLC | 3580 Westgate, Fairview Park, OH 44126-1300 |
| Michael D Joyce | Clinical Social Worker | Integrative Psychological Health, LLC | 20800 Westgate Mall, Suite 103, Fairview Park, OH 44126-1318 |
| Adriana Faur | Psychologist, Clinical | Integrative Psychological Health, LLC | 20800 Westgate Mall, Suite 103, Fairview Park, OH 44126-1318 |
| Thomas J Mraz | Clinical Psychologist | Integrative Psychological Health, LLC | 20800 Westgate Mall, Suite 103, Fairview Park, OH 44126-1318 |
| Jack R Grady | Podiatry | Grady Podiatry LLC | 20800 Westgate Mall, Fairview Park, OH 44126-1318 |
| Lawrence J Mcnamee | Diagnostic Radiology | Elite Imaging LLC | 18777 Lookout Cir, Fairview Park, OH 44126-1713 |
| Laurie Knowlton | Clinical Social Worker | 20939 Lorain Rd, Suite 8, Fairview Park, OH 44126-2022 | |
| Find all physicians in zip 44126 | |||
| City | FAIRVIEW PARK |
| Zip Code | 44126 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | FAIRVIEW PARK + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Deborah A Koricke.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.