Healthcare Provider Details

I. General information

NPI: 1861077927
Provider Name (Legal Business Name): TERRY ALON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2021
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3684 BENDEMEER RD
CLEVELAND HEIGHTS OH
44118-1956
US

IV. Provider business mailing address

3684 BENDEMEER RD
CLEVELAND HEIGHTS OH
44118-1956
US

V. Phone/Fax

Practice location:
  • Phone: 848-240-1181
  • Fax:
Mailing address:
  • Phone: 848-240-1181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0040901
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: