Provider Demographics
NPI:1164724241
Name:EL-DABH, MERVAT D (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MERVAT
Middle Name:D
Last Name:EL-DABH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 CARNEGIE AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44115-2641
Mailing Address - Country:US
Mailing Address - Phone:440-260-8900
Mailing Address - Fax:216-518-9298
Practice Address - Street 1:5706 TURNEY RD
Practice Address - Street 2:STE 200
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-3971
Practice Address - Country:US
Practice Address - Phone:440-260-6114
Practice Address - Fax:216-518-9298
Is Sole Proprietor?:No
Enumeration Date:2010-11-23
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC 0900515106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist