Provider Demographics
NPI:1679121008
Name:CLAREN SHECK-BOEHLER, PH.D., LLC
Entity type:Organization
Organization Name:CLAREN SHECK-BOEHLER, PH.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHECK-BOEHLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:419-340-2832
Mailing Address - Street 1:3150 N REPUBLIC BLVD STE 6
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-1514
Mailing Address - Country:US
Mailing Address - Phone:419-214-9320
Mailing Address - Fax:419-214-9320
Practice Address - Street 1:3150 N REPUBLIC BLVD STE 6
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-1514
Practice Address - Country:US
Practice Address - Phone:419-214-9320
Practice Address - Fax:419-214-9320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-28
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty