Provider Demographics
NPI:1518797679
Name:LIAROS, HRISOULA (EDS)
Entity type:Individual
Prefix:
First Name:HRISOULA
Middle Name:
Last Name:LIAROS
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4331 LONGDEN CT
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-1842
Mailing Address - Country:US
Mailing Address - Phone:513-237-3507
Mailing Address - Fax:
Practice Address - Street 1:50 RIDGEVIEW LN
Practice Address - Street 2:
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039-8021
Practice Address - Country:US
Practice Address - Phone:513-237-3507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool