Ethan R Benore is a Psychologist in Cleveland, Ohio. Ethan R Benore practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Ethan R Benore is 1629002951. The last update date is 2021-11-12.
Ethan R Benore's current location address is 2801 Mlk Jr Dr, Cleveland, Ohio. You can contact this provider via phone number 2164486253. The mailing address for Ethan R Benore is 2801 Mlk Jr Dr, Cleveland, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ethan R Benore |
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Address | 2801 Mlk Jr Dr, Cleveland, Ohio |
Phone Number | 2164486253 |
Fax Number | |
Sole Proprietor | N |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1629002951 |
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Provider Enumeration Date | 2006-07-11 |
Last Updated Date | 2021-11-12 |
Provider Mailing Address Detail
Address | 2801 Mlk Jr Dr |
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City | Cleveland |
State | Ohio (OH) |
Post Code | 441043815 |
Phone Number | 2164486253 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | 6154 |
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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2606326 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Ethan R Benore by the Centers for Medicare & Medicaid Services?
The Ethan R Benore has been assigned the NPI (National Provider Identifier) 1629002951. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Ethan R Benore's facilities are situated?
The facilities of Ethan R Benore are physically located at the following address: 2801 Mlk Jr Dr, Cleveland, OH, 441043815.
What is Ethan R Benore's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ethan R Benore is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date did the Ethan R Benore receive the assignment of its 1629002951 from the Centers for Medicare & Medicaid Services?
The Ethan R Benore was issued its 1629002951 by the Centers for Medicare & Medicaid Services on 2006-07-11.
As of what date were the details pertaining to Ethan R Benore last refreshed?
The information related to the Ethan R Benore, including its address, specialty, and other relevant details, was last updated on 2021-11-12.
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