Provider Demographics
NPI:1306951017
Name:ASHENBERG, ZEV S (PHD)
Entity type:Individual
Prefix:
First Name:ZEV
Middle Name:S
Last Name:ASHENBERG
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6449 WILSON MILLS RD
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44143-3438
Mailing Address - Country:US
Mailing Address - Phone:440-442-8800
Mailing Address - Fax:440-442-8804
Practice Address - Street 1:6449 WILSON MILLS RD
Practice Address - Street 2:
Practice Address - City:MAYFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44143-3438
Practice Address - Country:US
Practice Address - Phone:440-442-8800
Practice Address - Fax:440-442-8804
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3439103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCP25433Medicare ID - Type Unspecified