Provider Demographics
NPI:1083024335
Name:LAGANKE, ALLYSON (BA, MED, EDS, NCSP)
Entity type:Individual
Prefix:MS
First Name:ALLYSON
Middle Name:
Last Name:LAGANKE
Suffix:
Gender:F
Credentials:BA, MED, EDS, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 HEMISPHERE WAY
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-4216
Mailing Address - Country:US
Mailing Address - Phone:440-439-1500
Mailing Address - Fax:
Practice Address - Street 1:5771 PERKINS RD
Practice Address - Street 2:
Practice Address - City:BEDFORD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44146-2560
Practice Address - Country:US
Practice Address - Phone:440-439-4450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-07
Last Update Date:2025-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLSP.02175103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool