Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | LCDC.161348-2 | OH |
NPI | 1023529658 |
---|---|
Provider Name | Eleanor Mcguff |
First Address | Cincinnati, OH 45230-1169 |
Second Address | Cincinnati, OH 45230-1169 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2017 |
Last Update Date | 23/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
LCDC.161348-2 | LICENSURE (01) | OH |