Provider Demographics
NPI:1831437425
Name:PAZOL, RICHARD B (PSYD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:B
Last Name:PAZOL
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14250 LARCHMERE BLVD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44120-1316
Mailing Address - Country:US
Mailing Address - Phone:216-536-3926
Mailing Address - Fax:
Practice Address - Street 1:5001 MAYFIELD RD
Practice Address - Street 2:SUITE 115, OFFICE 6
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2602
Practice Address - Country:US
Practice Address - Phone:216-536-3926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5621103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical