Individual provider · Type 1 NPI

Philip Stephen Fastenau, PhD

Clinical Neuropsychologist · Cleveland, OH

NPI number 1407012883 Active

Practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Fax (216) 844-1703

Mailing address

24701 Euclid Ave, 3rd Floor
Euclid, OH 44117-1714

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist Primary 103G00000X6463 (OH)

Clinical Neuropsychologist: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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About NPI 1407012883

Philip Stephen Fastenau, PhD's National Provider Identifier is 1407012883, issued on Aug 5, 2008. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in Cleveland, OH. The record was last updated on Dec 8, 2020.