MEDICARE: NOREEN SMYTH-MORROW M.ED.

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
1	103TS0200X	School Psychologist	JU1000175	OH

General Provider Information

NPI Number	:	1811477458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOREEN SMYTH-MORROW M.ED.

Provider Business Mailing Address
First Line	:	3115 WOODBURY RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-2442
Country	:	US
Telephone Number	:	216-295-4090
Fax Number	:

Provider Business Practice Location Address
First Line	:	3115 WOODBURY RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-2442
Country	:	US
Telephone Number	:	216-295-4090
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2018
Last Update Date	:	08/14/2018

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