Healthcare Provider Details

I. General information

NPI: 1518045558
Provider Name (Legal Business Name): DONALD K SYKES CSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24800 HIGHPOINT RD STE B
BEACHWOOD OH
44122-6041
US

IV. Provider business mailing address

24800 HIGHPOINT RD STE B
BEACHWOOD OH
44122-6041
US

V. Phone/Fax

Practice location:
  • Phone: 216-831-6611
  • Fax: 216-831-2726
Mailing address:
  • Phone: 216-831-6611
  • Fax: 216-831-2726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberI-0001890
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: