| Doctor Name: | DEBORAH STAELENS ROSCH EIFERT |
| NPI Number: | 1033314562 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 5271 |
| Business Practice Address: | 22540 Lorain Rd Fairview Park, OH - 441262212 |
| Business Phone Number: | 4407344037 |
| Business Fax Number: | 4407344710 |
| Mailing Address: | 2201 Grandview Ave, CLEVELAND HEIGHTS |
| State: | OH |
| Postal Code: | 441063134 |
| Phone Number: | 2164099785 |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2007 |
| NPI Last Update Date: | 08/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | 5271 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |