Danelle Hupp, PH.D.
Individual provider Active NPI Clinical Psychologist · Fairview Park, OH
NPI 1770906968 · NPPES record last updated Jan 24, 2014
Key facts
- NPI
- 1770906968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 7099 (OH)
- Practice address
- 20800 Westgate Mall
Suite 200
Fairview Park, OH 44126-1323 - Phone
- (440) 333-4949
- Fax
- (440) 333-5044
- NPI assigned
- Jan 24, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7099 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Effective Living | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7099 | OH | Yes |
Addresses
Primary practice location
20800 Westgate Mall
Suite 200
Fairview Park, OH 44126-1323
Mailing address
20800 Westgate Mall
Suite 200
Fairview Park, OH 44126-1323
Phone (440) 333-4949
Other providers in Fairview Park, OH
- Abbey Hobart
- Melissa Ramona Hollo
- Zachary D Hoover
- Marion Elizabeth Howard
- Leah March Huntsinger
- Emma Hvizdos
- Maryou Ibrahim
- Sakina Ibrahimi
- Ideal Vascular Centers LLC
- Austin Jaks
All providers in Fairview Park, 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 Jan 24, 2014. 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.