Ethan R Benore in Cleveland - Clinical Child & Adolescent
Ethan R Benore - NPI 1629002951
Ethan R Benore is a Clinical Child & Adolescent in Cleveland, Ohio. Ethan R Benore practices all healthcare services and medical treatments related to Clinical Child & Adolescent. 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 |
|---|---|
| Address | 2801 Mlk Jr Dr, Cleveland, Ohio |
| Phone Number | 2164486253 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1629002951 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2021-11-12 |
Provider Mailing Address Detail
| Address | 2801 Mlk Jr Dr |
|---|---|
| City | Cleveland |
| State | Ohio (OH) |
| Post Code | 441043815 |
| Phone Number | 2164486253 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 6154 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 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 Clinical Child & Adolescent, and the taxonomy code that classifies this field of practice is 103Tc2200X.
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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