Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | E-0001708 | OH |
NPI | 1003818527 |
---|---|
Provider Name | Bernice Dorothy Stenger |
First Address | Cincinnati, OH 45220-2606 |
Second Address | Cincinnati, OH 45206-2839 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2005 |
Last Update Date | 16/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000019352 | ANTHEM BC/BS OF OHIO (01) | |
361010 | MANAGED HEALTH NETWORK (01) |