MEDICARE: MS. BETH ANN TRAMER PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	C0602155	OH

General Provider Information

NPI Number	:	1043449051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BETH ANN TRAMER PC

Provider Business Mailing Address
First Line	:	175 CANYON RD
Second Line	:
City	:	MORELAND HILLS
State	:	OH
Zip	:	44022-2417
Country	:	US
Telephone Number	:	440-247-7067
Fax Number	:

Provider Business Practice Location Address
First Line	:	175 CANYON RD
Second Line	:
City	:	MORELAND HILLS
State	:	OH
Zip	:	44022-2417
Country	:	US
Telephone Number	:	440-247-7067
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2009
Last Update Date	:	07/11/2009

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