Healthcare Provider Details

I. General information

NPI: 1851459507
Provider Name (Legal Business Name): MS. GAIL FOSTER NEVELS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: GAIL FOSTER NEVELS LISW

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 HARVARD ROAD SOUTH POINTE HOSPITAL 212
WARRENSVILLE OH
44122
US

IV. Provider business mailing address

2000 HARVARD ROAD SOUTH POINTE HOSPITAL 212
WARRENSVILLE OH
44122
US

V. Phone/Fax

Practice location:
  • Phone: 216-591-6529
  • Fax:
Mailing address:
  • Phone: 216-591-6529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI-5562
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: