Provider Demographics
NPI:1124341607
Name:SIGALOVE, OFELIA R
Entity type:Individual
Prefix:MRS
First Name:OFELIA
Middle Name:R
Last Name:SIGALOVE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24500 CERTER RIDGE RD
Mailing Address - Street 2:SUITE 100 BLDG 4
Mailing Address - City:WEST LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:24500 CERTER RIDGE RD
Practice Address - Street 2:SUITE 100 BLDG 4
Practice Address - City:WEST LAKE
Practice Address - State:OH
Practice Address - Zip Code:44145
Practice Address - Country:US
Practice Address - Phone:440-320-8929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHF0500047106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist