Doctor Name: | MRS. MAUREEN MC DEVITT DUBYAK |
NPI Number: | 1225056344 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | I0008375 |
Business Practice Address: | 10000 Brecksville Rd. Brecksville, OH - 44141 |
Business Phone Number: | 4405263030 |
Business Fax Number: | 4407462104 |
Mailing Address: | 10000 Brecksville Rd., BRECKSVILLE |
State: | OH |
Postal Code: | 44140 |
Phone Number: | 2167520242 |
Fax Number: | 4407462104 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 05/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I0008375 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |