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NPI Code Detail

MEDICARE: DR. NOREEN R. BRADY PHD, APRN-BC, LPCC

MEDICARE: DR. NOREEN R. BRADY PHD, APRN-BC, LPCC
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
1364SP0809XAdult Psychiatric/Mental Health Clinical Nurse SpecialistRN.141034OH

General Provider Information

NPI Number : 1982861548
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NOREEN R. BRADY PHD, APRN-BC, LPCC
Provider Business Mailing Address
First Line : 6718 CRESTWOOD LN
Second Line :
City : OLMSTED FALLS
State : OH
Zip : 44138-1145
Country : US
Telephone Number : 440-235-1867
Fax Number : 216-368-3542
Provider Business Practice Location Address
First Line : 13422 KINSMAN RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44120-4410
Country : US
Telephone Number : 216-241-7223
Fax Number : 216-241-7262
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2008
Last Update Date : 05/29/2008

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