Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ethan R Benore, PHD

Individual provider Psychologist · NPI 1629002951

Dr. Ethan R Benore, PHD is a Psychologist in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2801 Mlk Jr Dr
Cleveland, OH 44104-3815
Phone: (216) 448-6253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 6154 (OH)
Psychologist Taxonomy 103T00000X · Licence 6154 (OH)

Record details

NPI number1629002951
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESNovember 12, 2021
Certification dateNovember 12, 2021
Mailing address2801 Mlk Jr Dr, Cleveland, OH 44104-3815

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