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ELIZABETH B WYATT PHD INC
NPI 1407176605
Psychologist - Clinical in Mentor, OH

Active since June 10, 2010
8039 BROADMOOR RD, SUITE 15, MENTOR, OH 44060(440) 269-1500(440) 269-8545 Get Directions Write a Review

NPPES record last updated: June 10, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elizabeth B Wyatt Phd Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH B WYATT PHD INC (NPI 1407176605) is a healthcare organization registered as a clinical in Mentor, Ohio and active in the NPI registry since June 2010. The organization lists Elizabeth Blair Wyatt, President, as its authorized official.

NPPES Registry Identity

NPI1407176605
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameELIZABETH B WYATT PHD INC
Location Address8039 BROADMOOR RD, SUITE 15Mentor, OH 44060-7577
Mailing Address8039 Broadmoor Rd, Suite 15Mentor, OH 44060-7577 · (440) 269-1500 · Fax (440) 269-8545
Phone(440) 269-1500
Fax(440) 269-8545
Organization SubpartNo
Authorized OfficialElizabeth Blair WyattPresident · (440) 269-1500
Enumeration DateJune 10, 2010
✔ NPI 1407176605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OH · 4508
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
8039 BROADMOOR RD, Mentor, OH 44060
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELIZABETH BLAIR WYATT PHD
Psychologist (Clinical)
8039 BROADMOOR RD, #15
MENTOR, OH 44060
Lake County (440) 269-1500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth B Wyatt Phd Inc's NPI number?

The NPI number for Elizabeth B Wyatt Phd Inc is 1407176605. It was assigned to this organization in the NPPES registry on June 10, 2010.

Where is Elizabeth B Wyatt Phd Inc located?

Elizabeth B Wyatt Phd Inc is located at 8039 Broadmoor Rd Suite 15, Mentor, OH 44060. The listed phone number is (440) 269-1500.

What is Elizabeth B Wyatt Phd Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Elizabeth B Wyatt Phd Inc was last updated on June 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.