Elaine Susan Revis PH.D.

NPI 1033124912 - Psychologist - 103TC0700X

NPI Details
NPI 1033124912
Gender Female
Enumeration Date 07/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
23811 CHAGRIN BLVD STE 310
BEACHWOOD OH, 44122-5525, US
Phone (216) 464-1277
Fax
Business Location
23811 CHAGRIN BLVD STE 310
BEACHWOOD OH, 44122-5525, US
Phone (216) 464-1277
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Ohio
License Number 6207
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According to our database, Dr. Elaine Susan Revis PH.D. NPI is 1033124912, taxonomy code is 103TC0700X and license number is 6207, license state is located at Ohio. Elaine Susan Revis PH.D. physically located at 23811 Chagrin Blvd Ste 310, Beachwood OH, 44122-5525. NPI Number Elaine Susan Revis PH.D. has the Individual type.

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1033124912 NPI number is provided on an as is basis without warranty of any kind. 1033124912 is maintained by the National Plan & Provider Enumeration System. The contents of Elaine Susan Revis PH.D. are for informational purposes only.