Individual
DR. ELISE AUERHAHN BONDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 754-2078
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.122008
OH
2084P0804X
Child & Adolescent Psychiatry Physician
35.122008
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0186434
—
OH
Enumeration date
05/03/2011
Last updated
02/04/2021
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