Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 5216 | OH |
Y | 103TC0700X | Clinical Psychologist | 5216 | OH |
NPI | 1013037589 |
---|---|
Provider Name | Dr. Jeanne Marie Vonerden |
First Address | West Chester, OH 45071-0888 |
Second Address | Mason, OH 45040-1894 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2007 |
Last Update Date | 08/07/2007 |