Provider Demographics
NPI:1043396518
Name:TEREZIS, HELENE CYNTHIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:HELENE
Middle Name:CYNTHIA
Last Name:TEREZIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35104 EUCLID AVE
Mailing Address - Street 2:PARKHILL BUILDING, SUITE 110
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-4516
Mailing Address - Country:US
Mailing Address - Phone:440-951-9669
Mailing Address - Fax:440-951-8117
Practice Address - Street 1:6505 ROCKSIDE ROAD
Practice Address - Street 2:ROCKWOOD CENTER SUITE 120
Practice Address - City:INDEPENDENCE
Practice Address - State:OH
Practice Address - Zip Code:44131
Practice Address - Country:US
Practice Address - Phone:216-524-1900
Practice Address - Fax:216-524-9823
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4871103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CP19004Medicare ID - Type Unspecified