Provider Demographics
NPI:1336172584
Name:YEZZI-SHAREEF, ANN MARIE (PHD,)
Entity Type:Individual
Prefix:DR
First Name:ANN MARIE
Middle Name:
Last Name:YEZZI-SHAREEF
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 1:36144 CENTER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-2938
Mailing Address - Country:US
Mailing Address - Phone:440-570-5458
Mailing Address - Fax:
Practice Address - Street 1:37000 CENTER RIDGE RD
Practice Address - Street 2:SUITE 3 LOWER LEVEL
Practice Address - City:NORTH RIDGEVILLE
Practice Address - State:OH
Practice Address - Zip Code:44039-2804
Practice Address - Country:US
Practice Address - Phone:440-412-3041
Practice Address - Fax:440-628-2422
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS 016999103T00000X, 103T00000X
OH7174103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist