| Doctor Name: | TARIN ESTVANKO |
| NPI Number: | 1144602764 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | C.1400259 |
| Business Practice Address: | 22001 Fairmont Bld. Shaker Heights, OH - 441184819 |
| Business Phone Number: | 2169322800 |
| Business Fax Number: | 2163208748 |
| Mailing Address: | 22001 Fairmont Blvd, SHAKER HEIGHTS |
| State: | OH |
| Postal Code: | 44118 |
| Phone Number: | 2169322800 |
| Fax Number: | 2163208748 |
| NPI Enumeration Date: | 06/19/2015 |
| NPI Last Update Date: | 06/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | C.1400259 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |