William E Ajayi, PH.D
Individual provider Active NPI Clinical Psychologist · Garfield Heights, OH
NPI 1649672148 · NPPES record last updated Mar 23, 2020
Key facts
- NPI
- 1649672148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- P.07704 (OH)
- Practice address
- 12300 McCracken Rd
Garfield Heights, OH 44125-2914 - Phone
- (216) 587-8335
- Fax
- (216) 587-8646
- NPI assigned
- Sep 16, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P.07704 | OH | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P.07704 | OH | Yes |
Addresses
Primary practice location
12300 McCracken Rd
Garfield Heights, OH 44125-2914
Mailing address
12300 McCracken Rd
Garfield Heights, OH 44125-2914
Phone (216) 587-8335
Other practice location 1
453 W Third St
Apartment B
Lexington, KY 40508-3500
Phone (216) 632-9056
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All providers in Garfield Heights, OH · Clinical Psychologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.