Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | OH5620 | OH |
Y | 103TC0700X | Clinical Psychologist | OH5620 | OH |
NPI | 1003995655 |
---|---|
Provider Name | Dr. Nancy Panganamala-Zinnbauer |
First Address | Cincinnati, OH 45242-6820 |
Second Address | Cincinnati, OH 45242-6820 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 08/07/2007 |