DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PHILIP STEPHEN FASTENAU, PHD

Active

DR. PHILIP STEPHEN FASTENAU, PHD is a Clinical Neuropsychologist healthcare provider located in CLEVELAND, Ohio. NPI 1407012883 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · CLEVELAND, OH

Registration Details

NPI Number
1407012883
Provider Type
Individual
Gender
Male
NPI Issued
Aug 5, 2008 (18.05945625604 yrs)
Last Updated
Dec 8, 2020
License
6463 (OH)

Practice Information

Address
11100 EUCLID AVE
CLEVELAND, OH, 441061716
Browse OH providers · Browse ZIP 44106
Phone
2168442400
Fax
2168441703
Primary Specialty
Clinical Neuropsychologist
103G00000X

Other Clinical Neuropsychologist Providers in CLEVELAND, OH

Name Credential NPI
JENNIFER S HAUT PHD 1407814874
CYNTHIA KUBU PHD 1073571477
PAULA K. OGROCKI PHD 1689607632
CYNTHIA GRIGGINS PHD 1144255456
MARIAN B. PATTERSON PHD 1255359634
DR. NANCY LU ADAMS PH.D. 1326146465
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.