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

Health care specialties

SpecialtyCodeLicense #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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