Provider Demographics
NPI:1740854496
Name:WEINSTEIN, DEBORAH MERLE
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:MERLE
Last Name:WEINSTEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32549 S WOODLAND RD
Mailing Address - Street 2:
Mailing Address - City:PEPPER PIKE
Mailing Address - State:OH
Mailing Address - Zip Code:44124-5855
Mailing Address - Country:US
Mailing Address - Phone:216-406-4285
Mailing Address - Fax:216-464-6132
Practice Address - Street 1:35104 EUCLID AVE STE 305
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-4566
Practice Address - Country:US
Practice Address - Phone:440-527-8006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical