Individual provider · Type 1 NPI
Philip Stephen Fastenau, PhD
Clinical Neuropsychologist · Cleveland, OH
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
| Taxonomy | Code | License |
|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | 6463 (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.