Provider Demographics
NPI:1174602502
Name:PARIS, DEBORAH W (LISW)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:W
Last Name:PARIS
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20119 VAN AKEN BLVD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-3636
Mailing Address - Country:US
Mailing Address - Phone:216-556-5508
Mailing Address - Fax:216-292-9904
Practice Address - Street 1:20119 VAN AKEN BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-3636
Practice Address - Country:US
Practice Address - Phone:216-556-5508
Practice Address - Fax:216-292-9904
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI2901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical