Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 103TC2200X | Clinical Child & Adolescent Psychologist |
NPI | 1023534385 |
---|---|
Provider Name | Catherine Krieg |
First Address | Cincinnati, OH 45244-1557 |
Second Address | Cincinnati, OH 45244-1518 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2017 |
Last Update Date | 16/07/2019 |