Doctor Name: | MS. DEBORAH SQUIRES GOEBLE |
NPI Number: | 1427053792 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | I3760 |
Business Practice Address: | 6009 Landerhaven Dr Ste F Mayfield Heights, OH - 441244192 |
Business Phone Number: | 4404428600 |
Business Fax Number: | 4405437099 |
Mailing Address: | 16401 Misty Lake Gln, CHAGRIN FALLS |
State: | OH |
Postal Code: | 440234353 |
Phone Number: | 4404428600 |
Fax Number: | 4405437099 |
NPI Enumeration Date: | 06/14/2005 |
NPI Last Update Date: | 01/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I3760 |
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 |