Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | OH21602759 | OH |
NPI | 1093299448 |
---|---|
Provider Name | Deidre Floyd |
First Address | Cincinnati, OH 45239-5315 |
Second Address | Cincinnati, OH 45239-5315 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2018 |
Last Update Date | 21/09/2018 |