Organization
UNIVERSITY NEUROLOGISTS ASSOCIATION,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH WARE (PRACTICE ADMINSTRATOR)
(216) 844-3192
Entity
Organization
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1736
(216) 844-3192
Mailing address
5910 LANDERBROOK DR, SUITE 250, MAYFIELD, OH 44124-6508
(440) 684-5816
(440) 449-1555
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
2084N0400X
Neurology Physician
—
—
364SN0800X
Neuroscience Clinical Nurse Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0891941
—
OH
01
—
CN1398
RAILROAD MEDICARE
OH
Enumeration date
06/04/2006
Last updated
09/11/2025
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