IndividualActive
Reva Proctor, DODD CERTIFACTION
NPI 1184311201 · Intellectual & Developmental Disabilities Psychologist · East Cleveland, OH
Provider details
- NPI number
- 1184311201
- Entity type
- Individual
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Credential
- DODD CERTIFACTION
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1877 Allandale Ave
East Cleveland, OH 44112-2035
Phone: (216) 352-8080
Approximate (ZIP-level) locationGet directions
Mailing address
1877 Allandale Ave
East Cleveland, OH 44112-2035
Registry dates
- Enumerated
- 2023-04-19
- Last updated
- 2023-04-19
- Certified
- 2023-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.