Hallie B. Durchslag, Ltd | |
3109 Mayfield Rd Suite 204 Cleveland Hts OH 44118-1726 | |
(216) 916-2070 | |
(216) 795-5750 |
Full Name | Hallie B. Durchslag, Ltd |
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Speciality | Social Worker |
Location | 3109 Mayfield Rd, Cleveland Hts, Ohio |
Authorized Official Name and Position | Hallie B Durchslag (OWNER) |
Authorized Official Contact | 2169162070 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hallie B. Durchslag, Ltd Po Box 18481 Cleveland Hts OH 44118-0481 Ph: (888) 808-6625 | Hallie B. Durchslag, Ltd 3109 Mayfield Rd Suite 204 Cleveland Hts OH 44118-1726 Ph: (216) 916-2070 |
NPI Number | 1972997559 |
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Provider Enumeration Date | 03/23/2015 |
Last Update Date | 03/23/2015 |
Medicare PECOS PAC ID | 2668792789 |
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Medicare Enrollment ID | O20150513001200 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972997559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Hallie B Durchslag |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1396063095 PECOS PAC ID: 9133252067 Enrollment ID: I20100729000368 |
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