| Doctor Name: | MERAV K. AUZENNE |
| NPI Number: | 1013200120 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA PC |
| License Number: | C.0900464 |
| Business Practice Address: | 8445 Munson Rd Mentor, OH - 440602410 |
| Business Phone Number: | 4402551700 |
| Business Fax Number: | 4402052417 |
| Mailing Address: | 24820 Sittingbourne Ln, BEACHWOOD |
| State: | OH |
| Postal Code: | 441221629 |
| Phone Number: | 4402551700 |
| Fax Number: | 4402052407 |
| NPI Enumeration Date: | 05/23/2011 |
| NPI Last Update Date: | 04/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | C.0900464 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |