Provider Demographics
NPI:1831478387
Name:CORDIANO, TORI (PHD)
Entity Type:Individual
Prefix:DR
First Name:TORI
Middle Name:
Last Name:CORDIANO
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 1:20119 FARNSLEIGH RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-3636
Mailing Address - Country:US
Mailing Address - Phone:216-751-5442
Mailing Address - Fax:216-751-4172
Practice Address - Street 1:20119 FARNSLEIGH RD
Practice Address - Street 2:SUITE 202
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-3636
Practice Address - Country:US
Practice Address - Phone:216-751-5442
Practice Address - Fax:216-751-4172
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6748103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical