Provider Demographics
NPI:1740487958
Name:SVECHS, ILGA B (PHD)
Entity type:Individual
Prefix:MS
First Name:ILGA
Middle Name:B
Last Name:SVECHS
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 1:2 BRATENAHL PLACE
Mailing Address - Street 2:SUITE 4-B
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44108-1167
Mailing Address - Country:US
Mailing Address - Phone:216-681-3320
Mailing Address - Fax:216-541-5006
Practice Address - Street 1:2460 FAIRMOUNT BLVD
Practice Address - Street 2:SUITE 323
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44106-3164
Practice Address - Country:US
Practice Address - Phone:216-229-4290
Practice Address - Fax:216-541-5006
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 0000666104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker