Organization
LEVINE, RISEN & ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE B RISEN LISW (VICE PRESIDENT)
(216) 831-2900
Entity
Organization
Contact information
Practice address
23230 CHAGRIN BLVD, SUITE 350, BEACHWOOD, OH 44122-5446
(216) 831-2900
(216) 831-4306
Mailing address
23230 CHAGRIN BLVD, SUITE 350, BEACHWOOD, OH 44122-5446
(216) 831-2900
(216) 831-4306
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
462685000
MAGELLAN
OH
Enumeration date
09/20/2006
Last updated
12/29/2008
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