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NPI Code Detail

MEDICARE: DEANNE MICHELLE THURMAN

MEDICARE: DEANNE MICHELLE THURMAN
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
1106S00000XBehavior Technician
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1922819705
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNE MICHELLE THURMAN
Provider Business Mailing Address
First Line : 25 FREDERICK ST
Second Line :
City : PAINESVILLE
State : OH
Zip : 44077-3611
Country : US
Telephone Number : 216-972-4099
Fax Number :
Provider Business Practice Location Address
First Line : 9655 SWEET VALLEY DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44125-4270
Country : US
Telephone Number : 216-264-8143
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2025
Last Update Date : 01/20/2025

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Directions to “ DEANNE MICHELLE THURMAN ” Practice Location

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