Provider Demographics
NPI:1104836584
Name:PRICE, ROSLYN ZATORSKY (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROSLYN
Middle Name:ZATORSKY
Last Name:PRICE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 GREEN RD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7711
Mailing Address - Country:US
Mailing Address - Phone:216-751-7714
Mailing Address - Fax:216-751-7714
Practice Address - Street 1:3450 GREEN RD
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-7711
Practice Address - Country:US
Practice Address - Phone:216-751-7714
Practice Address - Fax:216-751-7714
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPSYCHOLOGY #1319103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
154125OtherMHN CALIFORNIA
74400OtherUNITED BEHAIVORAL HEALTH
OH0298824Medicaid
154125OtherMHN CALIFORNIA