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NPI Code Detail

MEDICARE: MARIA EDUARDA GERMANO MOTTA

MEDICARE: MARIA EDUARDA GERMANO MOTTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramC.2002919OH
2101YP2500XProfessional CounselorC.2002919OH

General Provider Information

NPI Number : 1548875248
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA EDUARDA GERMANO MOTTA
Provider Business Mailing Address
First Line : 2686 WYNDGATE CT
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-2996
Country : US
Telephone Number : 216-213-6806
Fax Number :
Provider Business Practice Location Address
First Line : 2141 OVERLOOK RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44106-5995
Country : US
Telephone Number : 216-303-6948
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2020
Last Update Date : 09/14/2020

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Directions to “ MARIA EDUARDA GERMANO MOTTA ” Practice Location

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