Revis, Elaine Susan
Revis, Elaine Susan is an sole proprietor health care provider with primary practice located at 23811 Chagrin Blvd Ste 310 , Beachwood OH 44122-5525. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Revis, Elaine Susan can be contacted via phone (216) 464-1277.Contact Information
Primary practice address
23811 Chagrin Blvd Ste 310
Beachwood OH 44122-5525
Phone: (216) 464-1277
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6207 | Ohio |
Profile Details
| NPI number | 1033124912 |
|---|---|
| LBN Legal business name | Revis, Elaine Susan |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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