Doctor Name: | MRS. KARIN MERDES TINNON |
NPI Number: | 1265856207 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | CL1006994 |
Business Practice Address: | 1843 Stanwood Rd East Cleveland, OH - 441122901 |
Business Phone Number: | 2162686687 |
Business Fax Number: | 2162686480 |
Mailing Address: | 19426 Scottsdale Blvd, SHAKER HTS |
State: | OH |
Postal Code: | 441226420 |
Phone Number: | 2162836416 |
Fax Number: | 2162686480 |
NPI Enumeration Date: | 02/11/2014 |
NPI Last Update Date: | 02/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | CL1006994 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |