NPI 1033124912

Elaine Susan Revis, PHD

Practitioner Clinical Psychologist Beachwood, OH

Practice location

Address: 23811 Chagrin Blvd STE 310, Beachwood, OH 44122-5525
Phone: (216) 464-1277

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 6207 (OH)

Other Psychologist providers in Ohio →

Registry record

NPI: 1033124912
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.