Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 3188 | OH |
NPI | 1114968807 |
---|---|
Provider Name | Dr. Deborah Andrews |
First Address | Cincinnati, OH 45223-1694 |
Second Address | Cincinnati, OH 45219-1704 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2006 |
Last Update Date | 15/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0659569 | (05) | OH |