Healthcare Provider Details

I. General information

NPI: 1346456407
Provider Name (Legal Business Name): INGEBORG MARIE HRABOWY PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 02/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 ORCHARDVIEW RD STE #4
CLEVELAND OH
44131
US

IV. Provider business mailing address

320 ORCHARDVIEW ROAD STE #4 DR INGEBORG HRABOWY LLC
CLEVELAND OH
44131
US

V. Phone/Fax

Practice location:
  • Phone: 216-556-5355
  • Fax:
Mailing address:
  • Phone: 216-556-5355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number4798
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: