Provider Demographics
NPI:1043837255
Name:VERLINGER, ELIZABETH I
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:I
Last Name:VERLINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6364 ASTER DR
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44131-3312
Mailing Address - Country:US
Mailing Address - Phone:216-577-4523
Mailing Address - Fax:
Practice Address - Street 1:6929 W 130TH ST STE 307
Practice Address - Street 2:
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-7822
Practice Address - Country:US
Practice Address - Phone:440-887-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-03
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.174016101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)