Maryellen S Davis in Cleveland - Child & Adolescent Psychiatry

Maryellen S Davis - NPI 1689694028

Maryellen S Davis is a Child & Adolescent Psychiatry in Cleveland, Ohio. Maryellen S Davis practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Maryellen S Davis is 1689694028. The last update date is 2011-05-16.

Maryellen S Davis's current location address is 11100 Euclid Ave, Cleveland, Ohio. You can contact this provider via phone number 2168443881. The mailing address for Maryellen S Davis is 11100 Euclid Ave, Cleveland, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Maryellen S Davis
Address 11100 Euclid Ave, Cleveland, Ohio
Phone Number 2168443881
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1689694028
Provider Enumeration Date 2006-07-20
Last Updated Date 2011-05-16

Provider Mailing Address Detail

Address 11100 Euclid Ave
City Cleveland
State Ohio (OH)
Post Code 441061716
Phone Number 2168443881
Fax Number

Provider's Primary Taxonomy Detail

Speciality Child & Adolescent Psychiatry
Taxonomy 2084P0804X
Licence No 35-037339
Definition:
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
224257 OH UNISON
363463 OH WELLCARE MEDICAID
532994 OH ANTHEM
260037665 OH RAILROAD MEDICARE
4588704 OH AETNA
412315 OH --

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FAQs about Maryellen S Davis

What is the Maryellen S Davis's unique identification number?

The Maryellen S Davis has been assigned the NPI (National Provider Identifier) Number 1689694028 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Maryellen S Davis is located?

The Maryellen S Davis is situated at the following address: 11100 Euclid Ave, Cleveland, OH, 441061716.

What is the area of specialization for Maryellen S Davis, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Maryellen S Davis is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0804X.

When was the Maryellen S Davis's 1689694028 issued?

The Maryellen S Davis's 1689694028 was issued on 2006-07-20.

As of what date were the details pertaining to Maryellen S Davis last refreshed?

The information related to the Maryellen S Davis, including its address, specialty, and other relevant details, was last updated on 2011-05-16.

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