Provider Demographics
NPI:1720186315
Name:MYER, CLAUDIA KERR (PCC, MED, RN)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:KERR
Last Name:MYER
Suffix:
Gender:F
Credentials:PCC, MED, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26777 LORAIN RD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-3200
Mailing Address - Country:US
Mailing Address - Phone:440-779-7476
Mailing Address - Fax:440-979-1315
Practice Address - Street 1:26777 LORAIN RD
Practice Address - Street 2:SUITE 306
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-3200
Practice Address - Country:US
Practice Address - Phone:440-779-7476
Practice Address - Fax:440-979-1315
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE3941101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health