Provider Demographics
NPI:1346914751
Name:CARPENTER-MCKEE, MARIE ELAINE (CERTIFIED PARENT ED)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:ELAINE
Last Name:CARPENTER-MCKEE
Suffix:
Gender:F
Credentials:CERTIFIED PARENT ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6202 SAINT JOSEPH DR
Mailing Address - Street 2:
Mailing Address - City:SEVEN HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44131-2861
Mailing Address - Country:US
Mailing Address - Phone:216-402-5032
Mailing Address - Fax:
Practice Address - Street 1:6202 SAINT JOSEPH DR
Practice Address - Street 2:
Practice Address - City:SEVEN HILLS
Practice Address - State:OH
Practice Address - Zip Code:44131-2861
Practice Address - Country:US
Practice Address - Phone:216-402-5032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH00000Medicaid