Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 4529 | OH |
NPI | 1215036793 |
---|---|
Provider Name | James H Brewer |
First Address | Cincinnati, OH 45229-3039 |
Second Address | Cincinnati, OH 45245 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 08/07/2007 |