Individual provider · Type 1 NPI
Reva R. Proctor, DODD CERTIFACTION
Intellectual & Developmental Disabilities Psychologist · East Cleveland, OH
NPI number
1184311201
Active
Practice location
1877 Allandale Ave
East Cleveland, OH 44112-2035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | None listed |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
About NPI 1184311201
Reva R. Proctor, DODD CERTIFACTION's National Provider Identifier is 1184311201, issued on Apr 19, 2023. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in East Cleveland, OH. The record was last updated on Apr 19, 2023.