Whalio Doctors

NPI 1467822023

Randie Shane, IMFT

Practitioner Marriage & Family Therapist Cleveland Heights, OH

Practice location

Address
2460 Fairmount Blvd, #326, Cleveland Heights, OH 44106
Phone
(917) 478-1254

Registered specialties (3)

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence F1700018 (OH)
Marriage & Family Therapist
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 001248 (NY)
Marriage & Family Therapist
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence F.1700018 (OH)

Registry record

NPI
1467822023
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Sep 2015
Record last updated
12 Dec 2018

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.