Healthcare Provider Details

I. General information

NPI: 1962580563
Provider Name (Legal Business Name): ELLEN DOREEN ALAIMO PMHCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 10/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3167 FULTON RD 105
CLEVELAND OH
44109-1465
US

IV. Provider business mailing address

3167 FULTON RD 105
CLEVELAND OH
44109-1465
US

V. Phone/Fax

Practice location:
  • Phone: 216-283-4400
  • Fax: 216-281-7194
Mailing address:
  • Phone: 216-283-4400
  • Fax: 216-281-7194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN234364
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: