Social Skills 360 LLC

NPI #1518574425 in Austinburg, Ohio

Provider Information

NPI Number: 1518574425
Entity Type: Organization
Organization Name: Social Skills 360 LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Sep 24, 2020
Last Updated: Sep 24, 2020

Practice Location

Address: 3042 COLLEGE ST
City: Austinburg
State: Ohio
ZIP Code: 44010-9745
Phone: (216) 292-7170

Authorized Official

Name: JAY BERK, PH.D.
Title: CLINICAL PSYCHOLOGIST
Phone: (216) 292-7170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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