Kenna R Mycek
NPI #1063950269 in Bay Village, Ohio
Provider Information
- NPI Number
- 1063950269
- Entity Type
- Organization
- Organization Name
- Kenna R Mycek
- Primary Specialty
- Psychologist - Clinical Child & Adolescent
- Enumeration Date
- Feb 8, 2017
- Last Updated
- Feb 8, 2017
Practice Location
- Address
- 27101 E OVIATT RD
- Address 2
- #2
- City
- Bay Village
- State
- Ohio
- ZIP Code
- 44140-3307
- Phone
- (216) 534-0907
Authorized Official
- Name
- KENNA MYCEK
- Title
- AUTHORIZED OFFICIAL
- Phone
- (216) 534-0907
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent |
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