Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeshore Intergenerational School

Organization Cognitive & Behavioral Psychologist · NPI 1710395264

Lakeshore Intergenerational School is a Cognitive & Behavioral Psychologist in Cleveland, Ohio. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2

Practice location Address checks out

18025 Marcella Rd
Cleveland, OH 44119
Phone: (216) 456-2086
Fax: (216) 391-4770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Local Education Agency (LEA) (primary) Taxonomy 251300000X
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X

Record details

NPI number1710395264
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Daane — Cfo · (216) 456-2086
NPI enumeratedJuly 29, 2014
Last updated in NPPESSeptember 6, 2014
Mailing address18025 Marcella Rd, Cleveland, OH 44119

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