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NPI Code Detail

MEDICARE: ELIZABETH KARDAMIS LPC, LPAT

MEDICARE:   ELIZABETH  KARDAMIS  LPC, LPAT
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1629899471
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH KARDAMIS LPC, LPAT
Provider Business Mailing Address
First Line : 33565 BALDWIN RD
Second Line :
City : SOLON
State : OH
Zip : 44139-4137
Country : US
Telephone Number : 216-650-8706
Fax Number :
Provider Business Practice Location Address
First Line : 46 RAVENNA ST STE A2
Second Line :
City : HUDSON
State : OH
Zip : 44236-3058
Country : US
Telephone Number : 330-760-7890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2024
Last Update Date : 11/19/2024

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Directions to “ ELIZABETH KARDAMIS LPC, LPAT” Practice Location

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