Provider Demographics
NPI:1174933824
Name:DAVIS CERVENY, GREER ANNE (EDS)
Entity type:Individual
Prefix:MS
First Name:GREER
Middle Name:ANNE
Last Name:DAVIS CERVENY
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:MS
Other - First Name:GREER
Other - Middle Name:ANNE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EDS
Mailing Address - Street 1:5420 MAYFIELD RD STE 202
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2934
Mailing Address - Country:US
Mailing Address - Phone:440-397-4056
Mailing Address - Fax:
Practice Address - Street 1:5420 MAYFIELD RD STE 202
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2934
Practice Address - Country:US
Practice Address - Phone:440-397-4056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-03
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH3151552103TS0200X
OHSP620103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool