NPI 1467822023
Randie Shane, IMFT
Practice location
- Address
- 2460 Fairmount Blvd, #326, Cleveland Heights, OH 44106
- Phone
- (917) 478-1254
Registered specialties (3)
Marriage & Family Therapist
Primary
Marriage & Family Therapist
Marriage & Family Therapist
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.